Healthcare Provider Details

I. General information

NPI: 1407657877
Provider Name (Legal Business Name): NO SHAME COUNSELING, REIKI & CONSULTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2025
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2821 ASHLAND RD STE A2
COLUMBIA SC
29210-5049
US

IV. Provider business mailing address

2821 ASHLAND RD STE A2
COLUMBIA SC
29210-5049
US

V. Phone/Fax

Practice location:
  • Phone: 803-200-1053
  • Fax:
Mailing address:
  • Phone: 803-200-1053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. TINA PHILLIPS
Title or Position: OWNER
Credential: LISW
Phone: 803-200-1053