Healthcare Provider Details

I. General information

NPI: 1376470310
Provider Name (Legal Business Name): OWLWISE THERAPY STUDIOS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 BRIDGES RD STE E
MAULDIN SC
29662-3260
US

IV. Provider business mailing address

140 BRIDGES RD STE E
MAULDIN SC
29662-3260
US

V. Phone/Fax

Practice location:
  • Phone: 864-598-4526
  • Fax:
Mailing address:
  • Phone: 864-689-4526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: STEFANIE SCOTT
Title or Position: OWNER, CLINICIAN
Credential: LMFT, RPT
Phone: 864-689-4526