Organization Active NPI

Grey Dove Counseling

  • Mental Health Counselor
  • Summerville, SC
National Provider Identifier
1467036228
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Dec 16, 2024

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.