Provider Demographics
NPI:1487409413
Name:SANTOS, CIBELE DO CARMO (PHD, MDIV, LPC-A)
Entity type:Individual
Prefix:DR
First Name:CIBELE
Middle Name:DO CARMO
Last Name:SANTOS
Suffix:
Gender:F
Credentials:PHD, MDIV, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 CYPRESS MARSH DR
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2563
Mailing Address - Country:US
Mailing Address - Phone:843-384-4611
Mailing Address - Fax:
Practice Address - Street 1:60 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29926-6602
Practice Address - Country:US
Practice Address - Phone:843-681-1935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-22
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8947101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional