Dazzetter Young Burnside
Individual provider Active NPI Mental Health Counselor · Greenville, SC
NPI 1487514162 · NPPES record last updated Nov 14, 2025
Key facts
- NPI
- 1487514162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 101 Cochran Dr
Greenville, SC 29611-5974 - Phone
- (864) 325-9223
- NPI assigned
- Nov 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
101 Cochran Dr
Greenville, SC 29611-5974
Mailing address
101 Cochran Dr
Greenville, SC 29611-5974
Phone (864) 325-9223
Other providers in Greenville, SC
- Brian George Burnikel
- Victoria Frances Burnos
- Christopher Burns
- Zachery Lee Burns
- Cadyn Liam Burnside
- Jared Robert Burr
- Rebekah Ann Burr
- Katherine Burras
- Tyniko Victoria Burrison
- Ashley Phillips Burriss
All providers in Greenville, SC · Mental Health Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.