Healthcare Provider Details

I. General information

NPI: 1487583670
Provider Name (Legal Business Name): COUNSELING BY LASHA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 3RD LOOP RD STE D3
FLORENCE SC
29505-3795
US

IV. Provider business mailing address

PO BOX 173
KINGSTREE SC
29556-0173
US

V. Phone/Fax

Practice location:
  • Phone: 803-470-3866
  • Fax: 803-373-1541
Mailing address:
  • Phone: 803-470-3866
  • Fax: 803-373-1541

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. ANEDRA CHINA
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 803-470-3866