Healthcare Provider Details

I. General information

NPI: 1497676878
Provider Name (Legal Business Name): MGW COUNSELING AND HEALING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 MOUNT ELON CHURCH RD
HOPKINS SC
29061-9267
US

IV. Provider business mailing address

121 MOUNT ELON CHURCH RD
HOPKINS SC
29061-9267
US

V. Phone/Fax

Practice location:
  • Phone: 803-354-8073
  • Fax:
Mailing address:
  • Phone: 803-354-8073
  • 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 StateNULL

VIII. Authorized Official

Name: MADISON WILLIAMS
Title or Position: OWNER
Credential: ED.S, LPC
Phone: 803-354-8073