Healthcare Provider Details

I. General information

NPI: 1407762974
Provider Name (Legal Business Name): MENTALYST SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 S JOHNSON ST
GAFFNEY SC
29340-2908
US

IV. Provider business mailing address

PO BOX 107
GAFFNEY SC
29342-0107
US

V. Phone/Fax

Practice location:
  • Phone: 864-428-7778
  • Fax:
Mailing address:
  • Phone: 864-428-7778
  • Fax: 864-755-6894

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: MR. JAMES CARNELL WILKINS II
Title or Position: OWNER
Credential: LPC
Phone: 864-428-7778