Healthcare Provider Details

I. General information

NPI: 1760355945
Provider Name (Legal Business Name): THE COUCH CO. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 HENLEY ST
ORANGEBURG SC
29115-5031
US

IV. Provider business mailing address

2764 PLEASANT ROAD STE A #704
FORT MILL SC
29708-7214
US

V. Phone/Fax

Practice location:
  • Phone: 803-565-0232
  • Fax:
Mailing address:
  • Phone: 803-565-0232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DAMION JERRELL HARMON
Title or Position: CEO, LICENSED PROFESSIONAL COUNSELO
Credential: MS, LPC
Phone: 803-565-0232