Provider Demographics
NPI:1013899376
Name:SMITH, CAROLINE BENNETT
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:BENNETT
Last Name:SMITH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 GROVE ST STE B
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29403-3706
Mailing Address - Country:US
Mailing Address - Phone:336-608-9395
Mailing Address - Fax:
Practice Address - Street 1:2470 MALL DRIVE
Practice Address - Street 2:UNITS B-D
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406
Practice Address - Country:US
Practice Address - Phone:877-654-6396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)