MEDICARE: GROWTH FOSTERING CONNECTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YP2500X	Professional Counselor
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1346198835
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROWTH FOSTERING CONNECTIONS

Provider Business Mailing Address
First Line	:	106 W CALHOUN ST
Second Line	:
City	:	DILLON
State	:	SC
Zip	:	29536-4014
Country	:	US
Telephone Number	:	843-632-1320
Fax Number	:	854-600-1563

Provider Business Practice Location Address
First Line	:	106 W CALHOUN ST
Second Line	:
City	:	DILLON
State	:	SC
Zip	:	29536-4014
Country	:	US
Telephone Number	:	843-632-1320
Fax Number	:	854-600-1563

Authorized Official
Title or Position	:	CEO
Name	:	KERRIA JONET PERNELL
Credential	:	LPC
Telephone Number	:	843-632-1320

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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Directions to “GROWTH FOSTERING CONNECTIONS ” Practice Location

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