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General NPI Number Information
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NPI Number | 1780599779
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Entity Type | Organization
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Legal Business Name | SERENITY COUNTS LLC
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Dates
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Enumeration Date | 08/15/2026
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Last Update Date | 08/23/2026
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Provider Practice Location Address
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Address Line | 5530 BUSH RIVER RD
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City | COLUMBIA
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State | SC
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Zip | 29212-3007
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Country | US
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Telephone | 803-394-2169
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Fax | 803-394-2169
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Provider Business Mailing Address
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Address Line | 8311 TWO NOTCH RD
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City | COLUMBIA
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State | SC
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Zip | 29223-6303
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Country | US
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Telephone | 803-394-2169
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Fax | 803-394-2169
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Authorized Official
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Title or Position | ADMINSTRATOR/OWNER
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Name | DR. TERRENCE WELLS
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Credential | PH.D
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Telephone | 803-394-2169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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