Healthcare Provider Details

I. General information

NPI: 1669399093
Provider Name (Legal Business Name): ENCOURAGED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 LAKERIDGE PKWY
COLUMBIA SC
29203-1423
US

IV. Provider business mailing address

325 LAKERIDGE PKWY
COLUMBIA SC
29203-1423
US

V. Phone/Fax

Practice location:
  • Phone: 803-479-9267
  • Fax: 803-479-9267
Mailing address:
  • Phone: 803-479-9267
  • Fax: 803-479-9267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: LEONA LOVE JACOBS
Title or Position: CEO
Credential:
Phone: 803-479-9267