Healthcare Provider Details

I. General information

NPI: 1780599779
Provider Name (Legal Business Name): SERENITY COUNTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/23/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5530 BUSH RIVER RD
COLUMBIA SC
29212-3007
US

IV. Provider business mailing address

8311 TWO NOTCH RD
COLUMBIA SC
29223-6303
US

V. Phone/Fax

Practice location:
  • Phone: 803-394-2169
  • Fax: 803-394-2169
Mailing address:
  • Phone: 803-394-2169
  • Fax: 803-394-2169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: DR. TERRENCE WELLS
Title or Position: ADMINSTRATOR/OWNER
Credential: PH.D
Phone: 803-394-2169