Organization
PEACEFUL FOUNDATIONS WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHA M FREDERICK LISW-CP (OWNER)
(803) 543-3660
Entity
Organization
Contact information
Practice address
3255 LANDMARK DR, NORTH CHARLESTON, SC 29418-8461
(843) 466-4420
(843) 989-0427
Mailing address
8211 PLEASANT RIDGE DR, NORTH CHARLESTON, SC 29420-8326
(803) 543-3660
(843) 989-0427
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1054
—
SC
Enumeration date
06/07/2025
Last updated
04/27/2026
Update your record
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