NPIMap

Organization Active NPI

Black River Labs and Wellness Center

  • Health Service Clinic/Center
  • Orangeburg, SC
National Provider Identifier
1952241598
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BLACK RIVER LABS AND WELLNESS CENTER
Practice address
960 Berry St
Orangeburg, SC 29115-4317
Phone
(803) 809-0099
NPI assigned
Apr 1, 2026
Last updated
Apr 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Ms. Felecia Shavon Scott, CPT, MA, BA PSY
Title
Owner
Phone
(803) 809-0099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

960 Berry St
Orangeburg, SC 29115-4317

Mailing address

960 Berry St
Orangeburg, SC 29115-4317
Phone (803) 809-0099

National Provider Directory

National Provider Directory
Tax ID family
Black River Labs and Wellness Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1952241598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 BERRY ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154317",
            "telephone_number": "803-809-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 BERRY ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154317",
            "telephone_number": "803-809-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK RIVER LABS AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "FELECIA",
        "authorized_official_middle_name": "SHAVON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-809-0099",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPT, MA, BA PSY"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

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