SECOND WIND LIFE SERVICES, LLC
NPI 1477433407
Counselor - Mental Health in Summerville, SC

Q: What is Second Wind Life Services, LLC's NPI number?

The NPI number for Second Wind Life Services, LLC is 1477433407. It was assigned to this organization in the NPPES registry on September 2, 2025.

Q: What is Second Wind Life Services, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since September 02, 2025

1140 BOONE HILL RD STE A, SUMMERVILLE, SC 29483(843) 695-9997(854) 300-4965 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Second Wind Life Services, Llc NPPES

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

SECOND WIND LIFE SERVICES, LLC (NPI 1477433407) is a healthcare organization registered as a mental health in Summerville, South Carolina and active in the NPI registry since September 2025. The organization lists Patricia L Costilla, Owner/counselor, as its authorized official.

NPPES Registry Identity

NPI1477433407

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameSECOND WIND LIFE SERVICES, LLC

Location Address1140 BOONE HILL RD STE ASummerville, SC 29483-2402

Mailing Address275 Cheyenne RdSummerville, SC 29483-8301 · (843) 695-9997 · Fax (854) 300-4965

Phone(843) 695-9997

Fax(854) 300-4965

Organization SubpartNo

Authorized OfficialPatricia L CostillaOwner/counselor · (843) 695-9997

Enumeration DateSeptember 2, 2025

NPPES CertifiedSeptember 2, 2025

✔ NPI 1477433407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1140 BOONE HILL RD STE A, Summerville, SC 29483

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. PATRICIA L COSTILLA LPC

Counselor (Mental Health)

1140 BOONE HILL RD STE A
SUMMERVILLE, SC 29483

Berkeley County (843) 695-9997

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 Second Wind Life Services, LLC's NPI number?

The NPI number for Second Wind Life Services, LLC is 1477433407. It was assigned to this organization in the NPPES registry on September 2, 2025.

Where is Second Wind Life Services, LLC located?

Second Wind Life Services, LLC is located at 1140 Boone Hill Rd Ste A, Summerville, SC 29483. The listed phone number is (843) 695-9997.

What is Second Wind Life Services, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Second Wind Life Services, LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.