Healthcare Provider Details

I. General information

NPI: 1619888468
Provider Name (Legal Business Name): TROTTER COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 BRIDGES RD STE F
MAULDIN SC
29662-3260
US

IV. Provider business mailing address

137 BAYRIDGE RD
SIMPSONVILLE SC
29680-8076
US

V. Phone/Fax

Practice location:
  • Phone: 864-358-9823
  • Fax:
Mailing address:
  • Phone: 864-358-9823
  • Fax:

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: TAYLOR TROTTER
Title or Position: CLINICAL LICENSED SOCIAL WORKER
Credential: LISW-CP
Phone: 859-444-7999