Healthcare Provider Details

I. General information

NPI: 1457766370
Provider Name (Legal Business Name): TRONDI JERRY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2014
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5017 HOXTON TRL
COLUMBIA SC
29209-5163
US

IV. Provider business mailing address

135 LOST JOHN RD
HOPKINS SC
29061-9543
US

V. Phone/Fax

Practice location:
  • Phone: 770-841-8560
  • Fax:
Mailing address:
  • Phone: 770-841-8560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC007238
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: