Provider Demographics
NPI:1215311550
Name:INTEGRITY COUNSELING & WELLNESS, LLC
Entity type:Organization
Organization Name:INTEGRITY COUNSELING & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TAURUS
Authorized Official - Middle Name:D
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, CACI
Authorized Official - Phone:803-250-6456
Mailing Address - Street 1:810 DUTCH SQUARE BLVD
Mailing Address - Street 2:STE 205
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-7318
Mailing Address - Country:US
Mailing Address - Phone:803-250-6456
Mailing Address - Fax:803-250-2523
Practice Address - Street 1:810 DUTCH SQUARE BLVD
Practice Address - Street 2:STE 205
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-7318
Practice Address - Country:US
Practice Address - Phone:803-250-6456
Practice Address - Fax:803-250-2523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-16
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1512089101YA0400X
SC6144101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty