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General NPI Number Information
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NPI Number | 1912862624
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Entity Type | Organization
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Legal Business Name | AT THE WELL COUNSELING LLC
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 248 CASSIQUE DR
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City | LEXINGTON
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State | SC
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Zip | 29073-7041
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Country | US
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Telephone | 803-386-9120
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Fax |
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Provider Business Mailing Address
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Address Line | 6650 RIVERS AVE SUITE 105 PMB 943841
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-4829
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Country | US
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Telephone | 803-386-9120
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. STEPHEN WAYNE HOWERTON
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Credential | MA, LPC-A, NCC
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Telephone | 803-386-9120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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