Healthcare Provider Details

I. General information

NPI: 1053227181
Provider Name (Legal Business Name): WENDI NORRIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2010 JONASH RD
CHARLESTON SC
29412-8627
US

IV. Provider business mailing address

2010 JONASH RD
CHARLESTON SC
29412-8627
US

V. Phone/Fax

Practice location:
  • Phone: 843-608-0167
  • Fax:
Mailing address:
  • Phone: 843-608-0167
  • 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: WENDI DELAINE NORRIS
Title or Position: LEAD CLINICIAN
Credential: LPC
Phone: 843-608-0167