Healthcare Provider Details

I. General information

NPI: 1124992375
Provider Name (Legal Business Name): RASHONDA AVENT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 TROJAN RD P.O. BOX 1
MONETTA SC
29105-9374
US

IV. Provider business mailing address

1409 TROJAN RD
MONETTA SC
29105-9374
US

V. Phone/Fax

Practice location:
  • Phone: 803-430-0237
  • Fax:
Mailing address:
  • Phone:
  • 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:
Title or Position:
Credential:
Phone: