Healthcare Provider Details

I. General information

NPI: 1740120427
Provider Name (Legal Business Name): FOOTHILLS FAMILY COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150A SCHOOL HOUSE RD
WESTMINSTER SC
29693-5945
US

IV. Provider business mailing address

158 GRANT RD
WESTMINSTER SC
29693-5909
US

V. Phone/Fax

Practice location:
  • Phone: 864-280-9317
  • Fax:
Mailing address:
  • Phone: 423-737-4075
  • 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: BENTLEY HIVELY GAMBRELL
Title or Position: CLINIC DIRECTOR
Credential: LPC, M. ED.
Phone: 423-737-4075