Healthcare Provider Details

I. General information

NPI: 1013826031
Provider Name (Legal Business Name): HEATHER STONE BS, ADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 HUMAN SERVICES RD
CLINTON SC
29325-7548
US

IV. Provider business mailing address

219 HUMAN SERVICES RD
CLINTON SC
29325-7548
US

V. Phone/Fax

Practice location:
  • Phone: 864-833-6500
  • Fax: 864-547-1901
Mailing address:
  • Phone: 864-833-6500
  • Fax: 864-547-1901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberADC-2199
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: