Healthcare Provider Details

I. General information

NPI: 1568392199
Provider Name (Legal Business Name): LITTLE LIGHT OF MINE COUNSELING & COMMUNITY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7280 REIDVILLE RD
WOODRUFF SC
29388-9792
US

IV. Provider business mailing address

PO BOX 125
WOODRUFF SC
29388-0125
US

V. Phone/Fax

Practice location:
  • Phone: 864-407-0218
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY GREEN LITTLE
Title or Position: OWNER
Credential: MBA, MSW, LISW-CP
Phone: 864-407-0218