Provider Demographics
NPI:1235963711
Name:BLUE SKY COUNSELING LLC
Entity type:Organization
Organization Name:BLUE SKY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:843-412-4721
Mailing Address - Street 1:1547 PIXLEY ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-8113
Mailing Address - Country:US
Mailing Address - Phone:843-412-4721
Mailing Address - Fax:
Practice Address - Street 1:4 CARRIAGE LN STE 400B
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6051
Practice Address - Country:US
Practice Address - Phone:843-730-4613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty