=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346198835
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GROWTH FOSTERING CONNECTIONS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/19/2026
-----------------------------------------------------
Last Update Date | 03/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 106 W CALHOUN ST
-----------------------------------------------------
City | DILLON
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29536-4014
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-632-1320
-----------------------------------------------------
Fax | 854-600-1563
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 106 W CALHOUN ST
-----------------------------------------------------
City | DILLON
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29536-4014
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 843-632-1320
-----------------------------------------------------
Fax | 854-600-1563
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | KERRIA JONET PERNELL
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 843-632-1320
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------