Provider Type Icon

EQUILIBRIUM LLC NPI 1013135433


NPI Information

NPI: 1013135433
Provider Name: EQUILIBRIUM LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
701 GERVAIS ST
STE 150-258
COLUMBIA, SC
ZIP 29201
Phone: (803) 361-3066
Get Directions

EQUILIBRIUM LLC is a professional counselor in Columbia, SC. EQUILIBRIUM LLC NPI is 1013135433. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

701 GERVAIS ST
STE 150-258
COLUMBIA, SC
ZIP 29201-066
Phone: (803) 361-3066
Fax: (866) 834-4286

The provider's authorized official is Wendy K Graham .
The authorized official title is Licensed Professional Counselor and has the following contact phone number 18033613066.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessional4644SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11730137456OTHERSOUTH CAROLINANPI LPC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.