1. Home
  2. Directory
  3. South Carolina
  4. Lake Wylie
  5. Community Behavioral Health
  6. NPI Profile

PROVISIONS COUNSELING SERVICES LLC
NPI 1811371842
Community/Behavioral Health in Lake Wylie, SC

Active since July 20, 2015
6 EXECUTIVE CT, LAKE WYLIE, SC 29710(704) 906-5558 Get Directions Write a Review

NPPES record last updated: July 20, 2015. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Provisions Counseling Services Llc NPPES

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

PROVISIONS COUNSELING SERVICES LLC (NPI 1811371842) is a healthcare organization registered as a community/behavioral health in Lake Wylie, South Carolina and active in the NPI registry since July 2015. The organization lists Shiricka Lashaye Fair, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1811371842
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePROVISIONS COUNSELING SERVICES LLC
Location Address6 EXECUTIVE CTLake Wylie, SC 29710-9338
Mailing Address5115 Mintvale DrCharlotte, NC 28269-1689 · (704) 906-5558
Phone(704) 906-5558
Organization SubpartNo
Authorized OfficialShiricka Lashaye FairExecutive Director · (704) 906-5558
Enumeration DateJuly 20, 2015
✔ NPI 1811371842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Licenses✔ Licensed in SC · 4611✔ Licensed in NC · 1484
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
6 EXECUTIVE CT, Lake Wylie, SC 29710
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

PRESTIGE DIABETIC SUPPLIES
Durable Medical Equipment & Medical Supplies
6 EXECUTIVE CT
LAKE WYLIE, SC 29710
York County (803) 831-6778
PRESTIGE HOME HEALTH
Home Health
6 EXECUTIVE CT
LAKE WYLIE, SC 29710
York County (803) 831-6778

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 Provisions Counseling Services LLC's NPI number?

The NPI number for Provisions Counseling Services LLC is 1811371842. It was assigned to this organization in the NPPES registry on July 20, 2015.

Where is Provisions Counseling Services LLC located?

Provisions Counseling Services LLC is located at 6 Executive Ct, Lake Wylie, SC 29710. The listed phone number is (704) 906-5558.

What is Provisions Counseling Services LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Provisions Counseling Services LLC was last updated on July 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.