Healthcare Provider Details

I. General information

NPI: 1780508804
Provider Name (Legal Business Name): ELITE COUNSELING & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 W HAMPTON AVE FL 1
SUMTER SC
29150-4912
US

IV. Provider business mailing address

208 W HAMPTON AVE FL 1
SUMTER SC
29150-4912
US

V. Phone/Fax

Practice location:
  • Phone: 803-847-5537
  • Fax:
Mailing address:
  • Phone: 803-847-5537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CASANDRA R HALES
Title or Position: OWNER/MANAGING MEMBER
Credential:
Phone: 839-268-5305