Healthcare Provider Details

I. General information

NPI: 1457230807
Provider Name (Legal Business Name): SUMMER SOL COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1527 SAM RITTENBERG BLVD STE 202
CHARLESTON SC
29407-4189
US

IV. Provider business mailing address

1527 SAM RITTENBERG BLVD STE 202
CHARLESTON SC
29407-4189
US

V. Phone/Fax

Practice location:
  • Phone: 704-277-3635
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: SUMMER ZELL
Title or Position: LPC-A
Credential:
Phone: 704-277-3635