Phenomenal Paths Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10133 Issued in SC

Legal business name

PHENOMENAL PATHS COUNSELING LLC

Practice address

636 Pine Ridge Dr Ste E
West Columbia, SC 29172-1867

Phone

(803) 830-2903

NPI assigned

Apr 15, 2017

Last updated

Sep 6, 2023By 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

Brittany Dorn, LISW-CPNPI 1891247730

Title

Owner

Phone

(803) 830-2903

Specialties & licenses 1

Addresses

Locations

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.

• Brittany Dorn, LISW-CP

  • Clinical Social Worker
  • West Columbia, SC
  • NPI 1891247730
  Authorized official Same address or phone

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

{
    "created_epoch": "1492214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1932633062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 PINE RIDGE DR STE E",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291721867",
            "telephone_number": "180-372-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 PINE RIDGE DR STE E",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291721867",
            "telephone_number": "803-830-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHENOMENAL PATHS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-15",
        "last_updated": "2023-09-06",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-830-2903",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "10133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Elizabeth Pettigrew
• Ronin Bates Pettit
• Andrea M Pezzella, MD
• Linda Chang Schelle Pham, M.M.S., PA-C
• Matthew Pham
• Scott D. Phifer, PTA
• Courtney Nicole Phillips
• James Horace Phillips Jr., RPH
• Edwin Potes Pia, M.D.
• Andrew W Piasecki, MD

• Clinical Social Worker in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.