1386538015 NPI number — MR. RUSSELL ALLEN RINEHART MA, LPCA, ASAT, MDIV

Table of content: MR. RUSSELL ALLEN RINEHART MA, LPCA, ASAT, MDIV (NPI 1386538015)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386538015 NPI number — MR. RUSSELL ALLEN RINEHART MA, LPCA, ASAT, MDIV

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RINEHART
Provider First Name:
RUSSELL
Provider Middle Name:
ALLEN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MA, LPCA, ASAT, MDIV
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RINEHART
Provider Other First Name:
RUSSELL
Provider Other Middle Name:
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPCA
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1386538015
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/06/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
205 NOVELTY DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREER
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29651-1998
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3598 HIGHWAY 11 STE 202
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TRAVELERS REST
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29690-3501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-365-6113
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/06/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  8525 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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