Healthcare Provider Details

I. General information

NPI: 1962059170
Provider Name (Legal Business Name): VIOLETTE CLARE ADAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VIOLETTE ELISE CLARE

II. Dates (important events)

Enumeration Date: 08/22/2019
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7825 BROAD RIVER RD STE 200
IRMO SC
29063-2375
US

IV. Provider business mailing address

7825 BROAD RIVER RD STE 200
IRMO SC
29063-2375
US

V. Phone/Fax

Practice location:
  • Phone: 803-422-4884
  • Fax:
Mailing address:
  • Phone: 803-422-4884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: