Individual provider · Type 1 NPI

Averie Jacqueline Booth

Mental Health Counselor · Summerville, SC

NPI number 1003627290 Active

Practice location

205 Ayers Cir
Summerville, SC 29485-3303

Call (843) 460-2605 Map

Mailing address

4275 Ohear Ave
North Charleston, SC 29405-5099

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000X1543540 (SC)
Mental Health Counselor Primary 101YM0800XAPC009921 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1003627290

Averie Jacqueline Booth's National Provider Identifier is 1003627290, issued on Jan 16, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Summerville, SC. The record was last updated on Aug 6, 2026.