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Contact Information

BROOKE BURKHOLDER
103 QUEEN ST STE D&E
GEORGETOWN, SC29440-3633
 Phone: 843-849-4029
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Mental Health

101YM0800X
 

Pastoral

101YP1600X
 

School

101YS0200X
Indicates primary specialty

NPI Profile & details for BROOKE BURKHOLDER · (Female)

NPI # 1821596719
Status Active
Credentials
Entity Individual
Enumeration date 01/25/2018
Last updated 04/25/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # IMH12078
  • SC License # 8842
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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