Healthcare Provider Details
I. General information
NPI: 1790463537
Provider Name (Legal Business Name): GARDEN PATH COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/11/2023
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14323 OCEAN HWY UNIT 4145
PAWLEYS ISLAND SC
29585-4826
US
IV. Provider business mailing address
158 MUDDY BAY DR APT 7304
MURRELLS INLET SC
29576-3500
US
V. Phone/Fax
- Phone: 267-279-9340
- Fax:
- Phone: 267-279-9340
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTINE
L
JAMES
Title or Position: OWNER LEAD THERAPIST
Credential: PSYD
Phone: 267-279-9340