1. Home
  2. Directory
  3. South Carolina
  4. Columbia
  5. Clinic Center
  6. NPI Profile

CORAZON OF SOUTH CAROLINA, LLC
NPI 1326715541
Clinic/Center - Adolescent and Children Mental Health in Columbia, SC

Active since August 25, 2021
1631 MAIN ST FL 2, COLUMBIA, SC 29201(803) 567-1217 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 25, 2021 (2 updates tracked since 2021).

About Corazon Of South Carolina, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORAZON OF SOUTH CAROLINA, LLC (NPI 1326715541), doing business as Corazon Holistic Health, is a healthcare organization registered as an adolescent and children mental health in Columbia, South Carolina and active in the NPI registry since August 2021. The organization lists Kimberly Kocak, Owner, as its authorized official.

NPPES Registry Identity

NPI1326715541
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameCORAZON OF SOUTH CAROLINA, LLC
Location Address1631 MAIN ST FL 2Columbia, SC 29201-2817
Mailing Address1631 Main St Fl 2Columbia, SC 29201-2817 · (803) 567-1217
Phone(803) 567-1217
Organization SubpartNo
Authorized OfficialKimberly KocakOwner · (614) 551-5760
Enumeration DateAugust 25, 2021
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 25, 2021
✔ NPI 1326715541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

1631 MAIN ST FL 2, Columbia, SC 29201
Open in Google Maps ↗

Other Names 2

Doing Business AsCorazon Holistic Health
Doing Business AsCorazon Of Columbia

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corazon Of South Carolina, LLC's NPI number?

The NPI number for Corazon Of South Carolina, LLC is 1326715541. It was assigned to this organization in the NPPES registry on August 25, 2021. The provider is doing business as Corazon Holistic Health and Corazon of Columbia.

Where is Corazon Of South Carolina, LLC located?

Corazon Of South Carolina, LLC is located at 1631 Main St Fl 2, Columbia, SC 29201. The listed phone number is (803) 567-1217.

What is Corazon Of South Carolina, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Corazon Of South Carolina, LLC was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.