Healthcare Provider Details

I. General information

NPI: 1952972119
Provider Name (Legal Business Name): SAGE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2021
Last Update Date: 02/27/2023
Certification Date: 02/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 TRADE ST STE C
GREER SC
29651-3428
US

IV. Provider business mailing address

217 HARTWOOD LAKE LN
GREER SC
29650-1085
US

V. Phone/Fax

Practice location:
  • Phone: 864-358-9116
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. REBECCA TOULSON
Title or Position: CEO, PSYCHOTHERAPIST
Credential: LPC, NCC
Phone: 864-358-9116