# ALIVE & WELL COUNSELING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356956650
- **Authorized official:** JORDAN WATKINS LISW-CP (OWNER & CLINICIAN)
- **Authorized official phone:** (864) 921-0744

## Contact information

- **Practice address:** 753 JOHNNIE DODDS BLVD STE 100, MT PLEASANT, SC 29464-3054
- **Practice address phone:** (864) 921-0744
- **Mailing address:** 4841 CHERRY BLOSSOM DR, SUMMERVILLE, SC 29485-8732
- **Mailing address phone:** (864) 921-0744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2020
- **Last updated:** 09/14/2020