Healthcare Provider Details

I. General information

NPI: 1881530228
Provider Name (Legal Business Name): FERGUSON COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9217A UNIVERSITY BLVD
NORTH CHARLESTON SC
29406-9122
US

IV. Provider business mailing address

514 YELLOW LEAF LN
SUMMERVILLE SC
29486-8493
US

V. Phone/Fax

Practice location:
  • Phone: 435-238-0694
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: RENEE FERGUSON
Title or Position: OWNER
Credential: LPC
Phone: 435-238-0694