Organization Active NPI

Symbiosis Mental Health and Wellness, LLC

  • Mental Health Counselor
  • Daniel Island, SC
National Provider Identifier
1508613126
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SYMBIOSIS MENTAL HEALTH AND WELLNESS, LLC
Practice address
515 Robert Daniel Dr Apt 5302
Daniel Island, SC 29492-7347
Phone
(843) 284-3116
NPI assigned
May 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Adrienne Terese IannazzoNPI 1316565062
Title
Member Manager
Phone
(571) 492-4351

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

515 Robert Daniel Dr Apt 5302
Daniel Island, SC 29492-7347

Mailing address

6650 Rivers Ave Ste 105
North Charleston, SC 29406-4829
Phone (843) 284-3116

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": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1508613126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 RIVERS AVE STE 105",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064829",
            "telephone_number": "843-284-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 ROBERT DANIEL DR APT 5302",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927347",
            "telephone_number": "843-284-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYMBIOSIS MENTAL HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "IANNAZZO",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "TERESE",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "571-492-4351"
    },
    "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 Daniel Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.