Healthcare Provider Details

I. General information

NPI: 1497907489
Provider Name (Legal Business Name): FLORENDA SANDERS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6786 AMBERLAKE DR
N CHARLESTON SC
29418-3668
US

IV. Provider business mailing address

6786 AMBERLAKE DR
N CHARLESTON SC
29418-3668
US

V. Phone/Fax

Practice location:
  • Phone: 843-819-8192
  • Fax:
Mailing address:
  • Phone: 843-819-8192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2332
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: