Healthcare Provider Details

I. General information

NPI: 1942127535
Provider Name (Legal Business Name): EMBER GLOW COUNSELING AND CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1170 PLOWDEN MILL RD
SUMTER SC
29153-9295
US

IV. Provider business mailing address

1170 PLOWDEN MILL RD
SUMTER SC
29153-9295
US

V. Phone/Fax

Practice location:
  • Phone: 803-565-7973
  • Fax:
Mailing address:
  • Phone: 803-565-7973
  • 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: AFRICA H. JOSEY
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 803-565-7973