Healthcare Provider Details

I. General information

NPI: 1386423960
Provider Name (Legal Business Name): TRUE TO YOU COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2023
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3691 PALMETTO POINTE BLVD STE 302
MYRTLE BEACH SC
29588-1202
US

IV. Provider business mailing address

1198 KING ST # 1198
CONWAY SC
29526-2993
US

V. Phone/Fax

Practice location:
  • Phone: 843-254-1879
  • Fax:
Mailing address:
  • Phone: 843-254-1879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. CORRIE L FARRAR
Title or Position: LISW-CP
Credential: LISW-CP
Phone: 843-254-1879