Nurturing Divergence Counseling & Wellness LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

NURTURING DIVERGENCE COUNSELING & WELLNESS LLC

Practice address

6650 Rivers Ave
Suite 100, Registered Agent
Charleston, SC 29406

Phone

(803) 262-5132

NPI assigned

Feb 1, 2022

Organization subpart

No

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

Authorized official

Name

Melinda Ledlow, LPC, LCPC

Title

Owner

Phone

(803) 262-5132

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669334400000",
    "number": "1144973017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 JEFFERSON DAVIS HWY UNIT 1592",
            "city": "CLEARWATER",
            "state": "SC",
            "postal_code": "298222172",
            "telephone_number": "803-262-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 RIVERS AVE",
            "address_2": "SUITE 100, REGISTERED AGENT",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "803-262-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURING DIVERGENCE COUNSELING & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "LEDLOW",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-262-5132",
        "authorized_official_credential": "LPC, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melinda@nurturingdivergence.com",
            "affiliation": "N",
            "endpointDescription": "melinda@nurturingdivergence.com",
            "address_1": "323 Country Glen Ave",
            "city": "Graniteville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "298293932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Charleston, SC
• Providers in Charleston, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.