Healthcare Provider Details

I. General information

NPI: 1447175005
Provider Name (Legal Business Name): REAL CONNECTIONS COUNSELING AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 BETHEL ST
CLOVER SC
29710-1154
US

IV. Provider business mailing address

16800 TULLOCH RD
CHARLOTTE NC
28278-8907
US

V. Phone/Fax

Practice location:
  • Phone: 803-675-8227
  • Fax: 866-884-5371
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
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. BETH WILSON
Title or Position: CHIEF CLINICAL OFFICER
Credential: PHD, LPCS
Phone: 704-516-2394