Provider Demographics
NPI:1912862624
Name:AT THE WELL COUNSELING LLC
Entity type:Organization
Organization Name:AT THE WELL COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:HOWERTON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC-A, NCC
Authorized Official - Phone:803-386-9120
Mailing Address - Street 1:6650 RIVERS AVE SUITE 105
Mailing Address - Street 2:PMB 943841
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-4829
Mailing Address - Country:US
Mailing Address - Phone:803-386-9120
Mailing Address - Fax:
Practice Address - Street 1:248 CASSIQUE DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29073-7041
Practice Address - Country:US
Practice Address - Phone:803-386-9120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-16
Last Update Date:2025-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health