Healthcare Provider Details

I. General information

NPI: 1548042013
Provider Name (Legal Business Name): ZENTIVITY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2023
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3640 ASHLEY PHOSPHATE RD
NORTH CHARLESTON SC
29418-8501
US

IV. Provider business mailing address

118 HOLLYTREE CIR
LADSON SC
29456-3786
US

V. Phone/Fax

Practice location:
  • Phone: 843-804-6148
  • Fax:
Mailing address:
  • Phone: 843-495-0565
  • 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: SHARANA SLOSS
Title or Position: CEO
Credential: LISW-CP
Phone: 843-480-5150