Healthcare Provider Details

I. General information

NPI: 1770400012
Provider Name (Legal Business Name): ELEVATE COUNSELING & WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1628 INDABA WAY
CHARLESTON SC
29414-8011
US

IV. Provider business mailing address

1628 INDABA WAY
CHARLESTON SC
29414-8011
US

V. Phone/Fax

Practice location:
  • Phone: 336-281-5444
  • Fax:
Mailing address:
  • Phone:
  • 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: JENNA SNYDER
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LCMHC, LPC
Phone: 336-281-5444