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MENDED THERAPY GROUP
NPI 1124807847
Counselor - Mental Health in Goose Creek, SC

Active since September 22, 2023
108 CENTRAL AVE STE 5, GOOSE CREEK, SC 29445(803) 450-6479 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mended Therapy Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENDED THERAPY GROUP (NPI 1124807847) is a healthcare organization registered as a mental health in Goose Creek, South Carolina and active in the NPI registry since September 2023. The organization lists Mccrae Carroll, Therapist, as its authorized official.

NPPES Registry Identity

NPI1124807847
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMENDED THERAPY GROUP
Location Address108 CENTRAL AVE STE 5Goose Creek, SC 29445-3079
Mailing Address108 Central Ave Ste 5Goose Creek, SC 29445-3079
Phone(803) 450-6479
Organization SubpartNo
Authorized OfficialMccrae CarrollTherapist · (803) 450-6479
Enumeration DateSeptember 22, 2023
NPPES CertifiedSeptember 21, 2023
✔ NPI 1124807847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
108 CENTRAL AVE STE 5, Goose Creek, SC 29445
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MCCRAE PAXTON CARROLL MA, LPC
Counselor (Professional)
108 CENTRAL AVE STE 5
GOOSE CREEK, SC 29445
Berkeley County (803) 450-6479
ALLISON RUTH CROWLEY LPC-A
Counselor (Professional)
108 CENTRAL AVE STE 5
GOOSE CREEK, SC 29445
Berkeley County (843) 352-3250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mended Therapy Group's NPI number?

The NPI number for Mended Therapy Group is 1124807847. It was assigned to this organization in the NPPES registry on September 22, 2023.

Where is Mended Therapy Group located?

Mended Therapy Group is located at 108 Central Ave Ste 5, Goose Creek, SC 29445. The listed phone number is (803) 450-6479.

What is Mended Therapy Group's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mended Therapy Group was last updated on September 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.