Healthcare Provider Details

I. General information

NPI: 1487598157
Provider Name (Legal Business Name): SACRED STORIES COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1612 MARION ST
COLUMBIA SC
29201-2939
US

IV. Provider business mailing address

105 WATEROAK DR
IRMO SC
29063-9413
US

V. Phone/Fax

Practice location:
  • Phone: 803-200-1796
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MARIA LEMOINE
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential:
Phone: 843-325-0584