Active NPI
Sistas of Encouragement
- Mental Health Counselor
- Conway, SC
National Provider Identifier
1104564970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lc@sistersofencouragement.org |
National Provider Directory
National Provider DirectoryPractitioners & 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.