New Wave Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEW WAVE COUNSELING SERVICES, LLC

Practice address

175 Guiomar Rd
Cordova, SC 29039-9344

Phone

(803) 860-3223

NPI assigned

Jun 24, 2020

Last updated

Jun 24, 2020By 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

Zendrea Govan, LISW-CPNPI 1013941822

Title

Counselor

Phone

(803) 860-3223

Specialties & licenses 1

Addresses

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.

• Zendrea E Govan, LISW

  • Clinical Social Worker
  • Columbia, SC
  • NPI 1013941822
  NPD Authorized official

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1649896770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 GUIOMAR RD",
            "city": "CORDOVA",
            "state": "SC",
            "postal_code": "290399344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 GUIOMAR RD",
            "city": "CORDOVA",
            "state": "SC",
            "postal_code": "290399344",
            "telephone_number": "803-860-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW WAVE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "GOVAN",
        "authorized_official_first_name": "ZENDREA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "803-860-3223",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Constantinha Charron
• Shirlain J Darby, M.A.CCC-SLP
• Justin Jackson
• Kawonna Nicole Maple
• Lauren Robinson-Taylor
• Universal Transportation LLC

• Community/Behavioral Health Agency in Cordova, SC
• Providers in Cordova, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.