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

Active Life, LLC

Organization Primary Care Clinic/Center · NPI 1245549096

Active Life, LLC is a Primary Care Clinic/Center in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2010.

Licensed in
SC
In the registry since
2010
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

125 Wappoo Creek Dr Ste 202
Charleston, SC 29412-2163
Phone: (843) 588-5133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 3574 (SC)

Record details

NPI number1245549096
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly O'Neill — Doctor/Owner · (843) 588-5133
NPI enumeratedSeptember 28, 2010
Last updated in NPPESSeptember 28, 2010
Mailing address125 Wappoo Creek Dr, Suite 202, Charleston, SC 29412-2163

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