Active NPI
Mallard Mental Wellness LLC
- Professional Counselor
- Darlington, SC
National Provider Identifier
1124770938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MALLARD MENTAL WELLNESS LLC
- Practice address
- 105 Russell St
Darlington, SC 29532-3309 - Phone
- (843) 624-8661
- NPI assigned
- Jan 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
- Laura L Smith, LPC, LPCS
- Title
- Owner/Operator
- Phone
- (843) 624-8661
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
105 Russell St
Darlington, SC 29532-3309
Mailing address
116 Oakview Dr
Darlington, SC 29532-2510
Phone (843) 624-8661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC1001 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
105 Russell St
Darlington, SC 29532
Phone (843) 624-8661
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Darlington, SC
- NPI 1124353404
-
- Professional Counselor
- Darlington, SC
- NPI 1881370955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764115200000",
"number": "1124770938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 OAKVIEW DR",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "295322510",
"telephone_number": "843-624-8661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 RUSSELL ST",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "295323309",
"telephone_number": "843-624-8661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MALLARD MENTAL WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-23",
"last_updated": "2025-11-26",
"certification_date": "2025-11-26",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "843-624-8661",
"authorized_official_credential": "LPC, LPCS"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PC1001",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Darlington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.