Healthcare Provider Details

I. General information

NPI: 1215857305
Provider Name (Legal Business Name): SEVEN OAKS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3039 LEAPHART RD # C
WEST COLUMBIA SC
29169-3050
US

IV. Provider business mailing address

2000 PARK ST # 101-1355
COLUMBIA SC
29201-2011
US

V. Phone/Fax

Practice location:
  • Phone: 619-373-5121
  • Fax:
Mailing address:
  • Phone: 619-373-5121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. TAMARA CHURCH
Title or Position: OWNER
Credential: LISW-CP, LCSW
Phone: 619-373-5121