Provider Demographics
NPI:1962781864
Name:MENCARELLI, RANEL M (LPC)
Entity type:Individual
Prefix:
First Name:RANEL
Middle Name:M
Last Name:MENCARELLI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 BILLY MEETZE RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE MOUNTAIN
Mailing Address - State:SC
Mailing Address - Zip Code:29075-9337
Mailing Address - Country:US
Mailing Address - Phone:724-350-0048
Mailing Address - Fax:
Practice Address - Street 1:652 BUSH RIVER RD # SET203
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-7521
Practice Address - Country:US
Practice Address - Phone:724-350-0048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-09
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5683101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional