Active NPI
Grey Dove Counseling
- Mental Health Counselor
- Summerville, SC
National Provider Identifier
1467036228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- GREY DOVE COUNSELING
- Practice address
- 810 Travelers Blvd Ste D2
Summerville, SC 29485-8259 - Phone
- (843) 940-7549
- Fax
- (888) 914-9713
- NPI assigned
- May 7, 2021
- 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
- J'Wanna Spann, LPCS
- Title
- Owner
- Phone
- (843) 940-7549
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
810 Travelers Blvd Ste D2
Summerville, SC 29485-8259
Mailing address
PO Box 50928
Summerville, SC 29485-0928
Phone (843) 940-7549
National Provider Directory
National Provider DirectoryLocations
100A Central Ave
Ste 209
Goose Creek, SC 29445
Phone (803) 881-5599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734307200000",
"number": "1467036228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50928",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294850928",
"telephone_number": "843-940-7549",
"fax_number": "888-914-9713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 TRAVELERS BLVD STE D2",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294858259",
"telephone_number": "843-940-7549",
"fax_number": "888-914-9713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREY DOVE COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-07",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A",
"authorized_official_last_name": "SPANN",
"authorized_official_first_name": "J'WANNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-940-7549",
"authorized_official_credential": "LPCS"
},
"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 Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.