Selah Therapy and Wellness LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SELAH THERAPY AND WELLNESS LLC

Practice address

324 Oak Manor Dr
Columbia, SC 29229-9313

Phone

(909) 522-9690

NPI assigned

Mar 11, 2024

Organization subpart

No

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

Authorized official

Name

Re'Vin Slack, LMFTNPI 1730701905

Title

Clinical Director

Phone

(803) 200-2299

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Re'Vin Slack, MS, LMFT, APCC

  • Marriage & Family Therapist
  • Columbia, SC
  • NPI 1730701905
  NPD Authorized official

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1386402741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292493",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292290042",
            "telephone_number": "909-522-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 OAK MANOR DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299313",
            "telephone_number": "909-522-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAH THERAPY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "SLACK",
        "authorized_official_first_name": "RE'VIN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "803-200-2299",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie A Seixas-Mikelus, MD
• Matthew Sejuit, LISW-CP
• Elizabeth Lauren Sekula, PHARM D
• Selah Counseling and Counsulting LLC
• Selah of the Carolinas
• Andrea Adams Sellers, M.S.
• Denise Sellers
• Holly Sellers, PT
• Jessica Sellers, LMSW
• Kelvin Sellers

• Mental Health Clinic/Center (Including Community Mental Health Center) in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.