Organization Active NPI

Saving Grace Counseling, LLC

  • Mental Health Counselor
  • Lugoff, SC
National Provider Identifier
1609615657
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SAVING GRACE COUNSELING, LLC
Practice address
13 Bowie Dr
Lugoff, SC 29078-2000
Phone
(803) 468-3323
NPI assigned
May 20, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Opal Fulwood, LPCNPI 1932681855
Title
Owner
Phone
(803) 468-3323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

NPPES NPI Registry

Primary practice location

13 Bowie Dr
Lugoff, SC 29078-2000

Mailing address

13 Bowie Dr
Lugoff, SC 29078-2000
Phone (803) 468-3323

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2024.

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1609615657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BOWIE DR",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290782000",
            "telephone_number": "803-468-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BOWIE DR",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290782000",
            "telephone_number": "803-468-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVING GRACE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "FULWOOD",
        "authorized_official_first_name": "OPAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-468-3323",
        "authorized_official_credential": "LPC"
    },
    "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 Lugoff, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.