Healthcare Provider Details

I. General information

NPI: 1154918605
Provider Name (Legal Business Name): ON SOLID GROUNDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2020
Last Update Date: 01/11/2021
Certification Date: 01/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1963 HOLLINGS RD
CHARLESTON SC
29412-2435
US

IV. Provider business mailing address

1963 HOLLINGS RD
CHARLESTON SC
29412-2435
US

V. Phone/Fax

Practice location:
  • Phone: 843-795-8212
  • Fax: 843-795-8212
Mailing address:
  • Phone: 843-795-8212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. SABRINA CHRISTINA PINCKNEY
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 843-330-7310