Healthcare Provider Details

I. General information

NPI: 1780517714
Provider Name (Legal Business Name): EMBRACE THE JOURNEY COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9424 MARTINDALE RD
COLUMBIA SC
29223-2048
US

IV. Provider business mailing address

9424 MARTINDALE RD
COLUMBIA SC
29223-2048
US

V. Phone/Fax

Practice location:
  • Phone: 803-603-6033
  • Fax:
Mailing address:
  • Phone: 803-603-6033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: NIKASHIA BROWN
Title or Position: LPC/OWNER
Credential: LPC
Phone: 803-603-6033