Healthcare Provider Details

I. General information

NPI: 1952438376
Provider Name (Legal Business Name): MT. HEBRON COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3156 LEAPHART RD
WEST COLUMBIA SC
29169-3024
US

IV. Provider business mailing address

3156 LEAPHART RD
WEST COLUMBIA SC
29169-3024
US

V. Phone/Fax

Practice location:
  • Phone: 803-791-0495
  • Fax: 803-791-1958
Mailing address:
  • Phone: 803-791-0495
  • Fax: 803-791-1958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2754
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4752
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6694
License Number StateSC
# 4
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number217
License Number StateSC

VIII. Authorized Official

Name: EMILY JO SCOTT
Title or Position: ADMINISTRATOR
Credential:
Phone: 803-269-2916