Organization Active NPI

Two Wolves Collaborative, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charleston, SC
National Provider Identifier
1881302396
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TWO WOLVES COLLABORATIVE, LLC
Practice address
4 Carriage LN Ste 300C
Charleston, SC 29407-6050
Phone
(843) 779-2496
NPI assigned
Nov 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Anne Bowerman Foster, LISW, MACNPI 1942807029
Title
Founder/ Clinician
Phone
(704) 936-6833

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4 Carriage LN Ste 300C
Charleston, SC 29407-6050

Mailing address

1732 W Sandcroft Dr
Charleston, SC 29407-3067
Phone (704) 936-6833

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TherapyNotes.com Direct

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": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1881302396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 W SANDCROFT DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073067",
            "telephone_number": "704-936-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CARRIAGE LN STE 300C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076050",
            "telephone_number": "843-779-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO WOLVES COLLABORATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "BOWERMAN",
        "authorized_official_title_or_position": "FOUNDER/ CLINICIAN",
        "authorized_official_telephone_number": "704-936-6833",
        "authorized_official_credential": "LISW, MAC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TherapyNotes.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA-compliant client portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4 Carriage Ln Ste 300C",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294076050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.