Healthcare Provider Details

I. General information

NPI: 1104577592
Provider Name (Legal Business Name): RHONDA WRIGHT MA. LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RHONDA ALSTON MA. LPC

II. Dates (important events)

Enumeration Date: 01/17/2022
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 OLDE TOWNE WAY UNIT 1
MYRTLE BEACH SC
29588-1403
US

IV. Provider business mailing address

182 OLDE TOWNE WAY UNIT 1
MYRTLE BEACH SC
29588-1403
US

V. Phone/Fax

Practice location:
  • Phone: 843-467-6732
  • Fax:
Mailing address:
  • Phone: 843-467-6732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8148
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2219
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: