Healthcare Provider Details

I. General information

NPI: 1396683256
Provider Name (Legal Business Name): JENI BOWERS PALMER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

129 SALUDA DR
MONCKS CORNER SC
29461-8861
US

IV. Provider business mailing address

129 SALUDA DR
MONCKS CORNER SC
29461-8861
US

V. Phone/Fax

Practice location:
  • Phone: 843-364-6216
  • Fax:
Mailing address:
  • Phone: 843-364-6216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2715
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: