Healthcare Provider Details

I. General information

NPI: 1548107642
Provider Name (Legal Business Name): CHARLESTON MEN'S AND MARRIAGE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 SEVEN FARMS DR STE 123A
DANIEL ISLAND SC
29492-8107
US

IV. Provider business mailing address

300 BUCKSLEY LN UNIT 304
DANIEL ISLAND SC
29492-8175
US

V. Phone/Fax

Practice location:
  • Phone: 843-608-0162
  • Fax:
Mailing address:
  • Phone: 443-540-6075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ADAM SACHS
Title or Position: OWNER
Credential: LPC
Phone: 843-608-0162