MEDICARE: INSTITUTE FOR SEXUAL INTEGRITY LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1841160066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSTITUTE FOR SEXUAL INTEGRITY LLC

Provider Business Mailing Address
First Line	:	2472 MINERAL SPRINGS RD
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-9211
Country	:	US
Telephone Number	:	803-955-7627
Fax Number	:	803-955-7628

Provider Business Practice Location Address
First Line	:	2472 MINERAL SPRINGS RD
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-9211
Country	:	US
Telephone Number	:	803-381-3863
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	KENNETH R. TAYLOR
Credential	:	LPC
Telephone Number	:	803-955-7627

Provider Enumeration Date	:	11/11/2025
Last Update Date	:	01/22/2026

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