Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Table Rock Integrated Health and Wellness Practice, LLC

Organization Professional Counselor · NPI 1104145184

Table Rock Integrated Health and Wellness Practice, LLC provides Professional Counselor services in Travelers Rest, South Carolina. Licensed in South Carolina. Registered with an NPI since 2010.

Licensed in
SC
In the registry since
2010
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5 Center St
Travelers Rest, SC 29690-1826
Phone: (864) 908-6372
Fax: (864) 898-3703
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 30719 (SC)
Professional Counselor Taxonomy 101YP2500X · Licence 1223 (SC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 5825 (SC)
Geriatric Psychiatry Physician Taxonomy 2084P0805X · Licence 30719 (SC)

Record details

NPI number1104145184
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gergana Dimitrova — Partner · (864) 908-6372
NPI enumeratedMay 31, 2010
Last updated in NPPESMarch 16, 2020
Certification dateMarch 16, 2020
Mailing address5 Center St, Travelers Rest, SC 29690-1826

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