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 is a Professional Counselor 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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