Discreet Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6243 Issued in SC

Legal business name

DISCREET COUNSELING, LLC

Practice address

825 Wappoo Rd
Charleston, SC 29407-5866

Phone

(843) 209-6731

NPI assigned

Jun 9, 2016

Organization subpart

No

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

Authorized official

Name

Mandy Nicole Walker, LPC

Title

Licensed Professional Couneslor

Phone

(843) 209-6731

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1114376258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 WAPPOO RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075866",
            "telephone_number": "843-209-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WAPPOO RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075866",
            "telephone_number": "843-209-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCREET COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNESLOR",
        "authorized_official_telephone_number": "843-209-6731",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.