MEDICARE: HOLISTIC THERAPY SERVICES 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	:	1982569356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLISTIC THERAPY SERVICES LLC

Provider Business Mailing Address
First Line	:	105 QUAIL FIELD RD
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29170-1321
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 CLUSTERS CT
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29210-4832
Country	:	US
Telephone Number	:	803-381-0648
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHANIE RAPTON
Credential	:	LPC
Telephone Number	:	803-381-0648

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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Directions to “HOLISTIC THERAPY SERVICES LLC ” Practice Location

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