Engage in Life, LLC

Primary specialty

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

Legal business name

ENGAGE IN LIFE, LLC

Practice address

800 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-1704

Phone

(252) 455-9725

NPI assigned

Oct 15, 2019

Last updated

Mar 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Susan Dale Bowers, LPCNPI 1417462193

Title

Mental Health Counselor

Phone

(252) 455-9725

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Dale Bowers

  • Mental Health Counselor
  • North Charleston, SC
  • NPI 1417462193
  NPD Authorized official

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1518509249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 COOKE ST",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294927545",
            "telephone_number": "252-455-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 JOHNNIE DODDS BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294641704",
            "telephone_number": "252-455-9725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Faber Place Dr",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294058532",
            "country_code": "US",
            "telephone_number": "252-455-9725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENGAGE IN LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "252-455-9725",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naresh P Emmanuel, MD
• Lauren Emmolo, LPC, NCC
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• McKenzie Jewell Endicott
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• Ashley Paige Eppes
• Ansley Erbacher, DPT
• Susanne Erde, OTR/L
• Avery Erickson

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mount Pleasant, SC
• Providers in Mount Pleasant, 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 Mar 30, 2021; 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.