MEDICARE: EPHESIANS 320 COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1811878861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EPHESIANS 320 COUNSELING LLC

Provider Business Mailing Address
First Line	:	8322 COVENTRY CT
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29420-8227
Country	:	US
Telephone Number	:	854-444-6428
Fax Number	:

Provider Business Practice Location Address
First Line	:	8322 COVENTRY CT
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29420-8227
Country	:	US
Telephone Number	:	854-444-6428
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS OWNER
Name	:	ERIN MICHELLE BERKEY
Credential	:	MS, LPC
Telephone Number	:	854-444-6428

Provider Enumeration Date	:	09/08/2025
Last Update Date	:	09/08/2025

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