Organization Active NPI

Small Counseling and Wellness LLC

  • Mental Health Counselor
  • Conway, SC
National Provider Identifier
1265020010
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SMALL COUNSELING AND WELLNESS LLC
Practice address
800 Legion St Ste 100E
Conway, SC 29526-4825
Phone
(843) 450-2325
NPI assigned
Jan 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Alfreda SmallNPI 1548638471
Title
Owner
Phone
(843) 450-2325

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

800 Legion St Ste 100E
Conway, SC 29526-4825

Mailing address

12389 Highway 707
Murrells Inlet, SC 29576-9741
Phone (843) 450-2325

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": "1609977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1265020010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12389 HIGHWAY 707",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295769741",
            "telephone_number": "843-450-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LEGION ST STE 100E",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264825",
            "telephone_number": "843-450-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "ALFREDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-450-2325"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 7, 2021; 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.