Healthcare Provider Details

I. General information

NPI: 1457706293
Provider Name (Legal Business Name): ANETA B HOPKINS EDD, CCMHC, LPCI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2016
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3012 MILLWOOD AVE
COLUMBIA SC
29205-1807
US

IV. Provider business mailing address

PO BOX 25507
COLUMBIA SC
29224-5507
US

V. Phone/Fax

Practice location:
  • Phone: 843-621-5404
  • Fax: 843-353-2460
Mailing address:
  • Phone: 843-621-5404
  • Fax: 843-353-2460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6680
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: