SARA SPORTS CULCLASURE CLINICAL COUNSELOR
NPI 1194083329
Counselor in Dillon, SC

Active since April 25, 2012
1324 COMMERCE DR., DILLON, SC 29536(843) 774-3351(843) 774-2622 Get Directions Write a Review

NPPES record last updated: April 25, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sara Sports Culclasure Clinical Counselor NPPES

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

SARA SPORTS CULCLASURE CLINICAL COUNSELOR (NPI 1194083329) is an individual counselor in Dillon, South Carolina and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1194083329
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSARA SPORTS CULCLASURECredential: CLINICAL COUNSELOR
Location Address1324 COMMERCE DR.Dillon, SC 29536
Mailing AddressP.o. Box 918, 1035 Cheraw St.Bennettsville, SC 29512 · (843) 454-0841 · Fax (843) 454-0635
Fax(843) 774-2622
Sole ProprietorNo
Enumeration DateApril 25, 2012
NPI 1194083329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1324 COMMERCE DR., Dillon, SC 29536

Other Identifiers 2

Medicare PIN3343SC
Medicaid405127SC

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Counselor
1324 COMMERCE DR., 1324 COMMERCE DR.
DILLON, SC 29536
Counselor
1324 COMMERCE DR.
DILLON, SC 29536
Psychiatry & Neurology (Psychiatry)
1324 COMMERCE DR.
DILLON, SC 29536
Counselor
1324 COMMERCE DR.
DILLON, SC 29536
Counselor
1324 COMMERCE DR.
DILLON, SC 29536
Counselor
1324 COMMERCE DR.
DILLON, SC 29536
Counselor (Mental Health)
1324 COMMERCE DR.
DILLON, SC 29536
Counselor (Mental Health)
1324 COMMERCE DR.
DILLON, SC 29536
Counselor (Mental Health)
1324 COMMERCE DR.
DILLON, SC 29536
Counselor
1324 COMMERCE DR.
DILLON, SC 29536
Counselor
1324 COMMERCE DR.
DILLON, SC 29536

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194083329, enumerated as an "individual" on April 25, 2012.

The provider is located at 1324 COMMERCE DR. DILLON, SC 29536 and the phone number is (843) 774-3351.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.