Provider Demographics
NPI:1558192591
Name:SAND & SERENITY COUNSELING LLC
Entity type:Organization
Organization Name:SAND & SERENITY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:M
Authorized Official - Last Name:WEIGAND
Authorized Official - Suffix:JR
Authorized Official - Credentials:LISW-CP
Authorized Official - Phone:843-812-5994
Mailing Address - Street 1:233 POINTE CV
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29906-6013
Mailing Address - Country:US
Mailing Address - Phone:843-812-5994
Mailing Address - Fax:
Practice Address - Street 1:233 POINTE CV
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29906-6013
Practice Address - Country:US
Practice Address - Phone:843-812-5994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty