Healthcare Provider Details

I. General information

NPI: 1720906241
Provider Name (Legal Business Name): PALMETTO THERAPY SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 WEAVER RD
JOHNSTON SC
29832-2740
US

IV. Provider business mailing address

28 WEAVER RD
JOHNSTON SC
29832-2740
US

V. Phone/Fax

Practice location:
  • Phone: 803-220-1935
  • Fax:
Mailing address:
  • Phone: 803-220-1935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAUREN DORN ENLOE
Title or Position: OWNER/SPEECH LANGUAGE PATHOLOGIST
Credential: SLP
Phone: 803-220-1935