Organization Active NPI

Sistas of Encouragement

  • Mental Health Counselor
  • Conway, SC
National Provider Identifier
1104564970
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SISTAS OF ENCOURAGEMENT
Practice address
2405 Farmwood Cir
Conway, SC 29527-3128
Phone
(843) 999-5525
NPI assigned
May 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laniece Ajavon, MA, LPC-A
Title
Ceo
Phone
(843) 999-5525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2405 Farmwood Cir
Conway, SC 29527-3128

Mailing address

PO Box 1531
Conway, SC 29528-1531
Phone (843) 999-5525

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lc@sistersofencouragement.org

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1104564970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1531",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295281531",
            "telephone_number": "843-999-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 FARMWOOD CIR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295273128",
            "telephone_number": "843-999-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTAS OF ENCOURAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "AJAVON",
        "authorized_official_first_name": "LANIECE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-999-5525",
        "authorized_official_credential": "MA, LPC-A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lc@sistersofencouragement.org",
            "affiliation": "N",
            "address_1": "2405 Farmwood Cir",
            "city": "Conway",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295273128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.