Healthcare Provider Details

I. General information

NPI: 1699696971
Provider Name (Legal Business Name): EMPOWERING LIVES COUNSELING & CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 WILDWOOD CENTRE DR STE A
COLUMBIA SC
29229-8402
US

IV. Provider business mailing address

205 MAGNOLIA BLUFF DR
COLUMBIA SC
29229-7528
US

V. Phone/Fax

Practice location:
  • Phone: 803-413-2489
  • Fax: 803-413-2489
Mailing address:
  • Phone: 803-413-2489
  • Fax: 803-413-2489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: ANGIE L. WOODS
Title or Position: LMFT
Credential: LMFT, NPT-C
Phone: 803-413-2489