Healthcare Provider Details

I. General information

NPI: 1760312938
Provider Name (Legal Business Name): ANSLEY DARLINGTON EDWARDS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 GREGG HWY NW
AIKEN SC
29801-6341
US

IV. Provider business mailing address

19 LANDMARK DR APT 12G
COLUMBIA SC
29210-4526
US

V. Phone/Fax

Practice location:
  • Phone: 803-641-7700
  • Fax:
Mailing address:
  • Phone: 803-240-3178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number9796
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: