Healthcare Provider Details

I. General information

NPI: 1467399816
Provider Name (Legal Business Name): INNER WORTH MENTAL HEATH COUSNELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3769 PARRIS BRIDGE RD
BOILING SPRINGS SC
29316-5411
US

IV. Provider business mailing address

2441 31ST ST # 1151
ASTORIA NY
11102-1140
US

V. Phone/Fax

Practice location:
  • Phone: 917-960-2153
  • Fax:
Mailing address:
  • Phone: 864-764-5044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ELLIOTT DALTON SKAGGS
Title or Position: MEMBER-MANAGER
Credential: LMHC
Phone: 917-960-2153