MEDICARE: SYMP WAY COUNSELING, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YS0200X	School Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	101YP2500X	Professional Counselor
4	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1619812195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYMP WAY COUNSELING, LLC

Provider Business Mailing Address
First Line	:	1 LONDONDERRY SQ
Second Line	:
City	:	CAYCE
State	:	SC
Zip	:	29033-1466
Country	:	US
Telephone Number	:	839-292-3164
Fax Number	:

Provider Business Practice Location Address
First Line	:	6650 RIVERS AVE STE 100
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-4809
Country	:	US
Telephone Number	:	839-292-3164
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGING MEMBER
Name	:	MS. LATASHA BERNICE FRAZIER
Credential	:	LPC
Telephone Number	:	839-292-3164

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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