Organization
RENEWED VISION COUNSELING & CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE GILCREST (LPC)
(803) 636-2713
Entity
Organization
Contact information
Practice address
1204 BRYTON TRCE, COLUMBIA, SC 29210-3642
(803) 238-8681
Mailing address
1204 BRYTON TRCE, COLUMBIA, SC 29210-3642
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7114
LICENSE
SC
Enumeration date
09/21/2020
Last updated
03/16/2026
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