Provider Demographics
NPI:1700680543
Name:CHISOLM, PRRP, PHD, TERRENCE RANIER (PHD)
Entity type:Individual
Prefix:
First Name:TERRENCE
Middle Name:RANIER
Last Name:CHISOLM, PRRP, PHD
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1477 FLINTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-1466
Mailing Address - Country:US
Mailing Address - Phone:803-517-2894
Mailing Address - Fax:
Practice Address - Street 1:1477 FLINTWOOD DR
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1466
Practice Address - Country:US
Practice Address - Phone:803-517-2894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No171M00000XOther Service ProvidersCase Manager/Care Coordinator