Healthcare Provider Details

I. General information

NPI: 1780595751
Provider Name (Legal Business Name): WALK WITH PURPOSE THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10359 HIGHWAY 78 E STE 104
SUMMERVILLE SC
29483-8700
US

IV. Provider business mailing address

3841 FAULT LINE DR
LADSON SC
29456-6909
US

V. Phone/Fax

Practice location:
  • Phone: 843-900-3190
  • Fax:
Mailing address:
  • Phone: 843-900-3190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN DOLMAS
Title or Position: EXECUTIVE OPERATIONS MANAGER
Credential:
Phone: 843-900-3190