Yemaya Restorative Health

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

YEMAYA RESTORATIVE HEALTH

Practice address

105 N Kings Dr
Fountain Inn, SC 29644-9459

Phone

(828) 273-6234

NPI assigned

Oct 26, 2026

Last updated

Oct 26, 2026By 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

Kimberlie Davidson, LPCNPI 1669209573

Title

Owner

Phone

(828) 273-6234

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.

• Kimberlie N Davidson, LPC

  • Counselor
  • Fountain Inn, SC
  • NPI 1669209573
  NPD (past) Authorized official

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

{
    "created_epoch": "1792972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792972800000",
    "number": "1730086364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N KINGS DR",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296449459",
            "telephone_number": "828-273-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N KINGS DR",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296449459",
            "telephone_number": "828-273-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YEMAYA RESTORATIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-26",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "KIMBERLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-273-6234",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Earl White Jr., DMD
• Demetria Sharpe Wilson, COTA/L
• Tamera Burton Wilson
• Melinda Wilt, COTA/L
• Gretchen Wirick, COTA/L

• Professional Counselor in Fountain Inn, SC
• Providers in Fountain Inn, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; 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.