Provider Demographics
NPI:1427925387
Name:MENTAL WELLNESS & CLINICAL COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:MENTAL WELLNESS & CLINICAL COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FAYONA
Authorized Official - Middle Name:
Authorized Official - Last Name:CURENTON
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP
Authorized Official - Phone:614-595-2216
Mailing Address - Street 1:PO BOX 173
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:SC
Mailing Address - Zip Code:29031-0173
Mailing Address - Country:US
Mailing Address - Phone:614-595-2216
Mailing Address - Fax:
Practice Address - Street 1:114 PERRY ROAD
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:SC
Practice Address - Zip Code:29031
Practice Address - Country:US
Practice Address - Phone:614-595-2216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty