Healthcare Provider Details

I. General information

NPI: 1831847540
Provider Name (Legal Business Name): WELLNESS COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2022
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 Number
License Number State

VIII. Authorized Official

Name: JASON M HOPKINS
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 843-610-1793