Pieces 2 Peace Wellness Center, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PIECES 2 PEACE WELLNESS CENTER, LLC

Practice address

1105 Belleview St Ste 103
Columbia, SC 29201-1839

Phone

(803) 250-5198

NPI assigned

Oct 1, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Anna B. Gantt-Gordon, LPC

Title

Co-Owner

Phone

(803) 250-5198

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Anna Gantt

  • Mental Health Counselor
  • Winnsboro, SC
  • NPI 1629447222
  NPD
• Trinicia Renee Lavon Jackson, LPC

  • Mental Health Counselor
  • Columbia, SC
  • NPI 1033736202
  NPD

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1902403116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9054",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292900054",
            "telephone_number": "803-250-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 BELLEVIEW ST STE 103",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011839",
            "telephone_number": "803-250-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIECES 2 PEACE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "GANTT-GORDON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "803-250-5198",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC2197",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE",
            "identifier": "QMP000005514755",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Lee Pickler Jr., PHARMD
• Nicholas Adam Pickrell, D.C.
• Marilyn Richman Picow, OTRL
• Alexandria Catherine Pidcock, FNP
• Pieces 2 Peace Wellness & Consulting LLC
• Frederick Charles Piehl, M.D
• Elizabeth Ward Pierce, MSP, CCC-SLP
• Kaitlyn Michele Pierce
• Khloe Pierre
• Ta-Tanisha Pierre

• Mental Health Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.