EQUILIBRIUM LLC NPI 1013135433

NPI Information

  • NPI: 1013135433
  • Provider Name: EQUILIBRIUM LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 701 GERVAIS ST
    STE 150-258
    COLUMBIA, SC
    ZIP 29201
  • Phone: (803) 361-3066

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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