Guardian Allies Collective Llc

Specialty details in registry · North Charleston, SC

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At a glance

2155 N Park Ln Ste 216, North Charleston, SC 29406-9261

NPPES record updated Dec 11, 2025. Public records can lag behind changes at a practice.

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Practice location

2155 N Park Ln Ste 216
North Charleston, SC 29406-9261

Professional details: NPI, taxonomy & registry record

NPI1124988381

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 103TS0200X
Enumeration date: Nov 12, 2025
Record updated: Dec 11, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Mental Health Counselor

101YM0800X

Psychologist

103T00000X

Specialty details in registry

103TH0100X

Specialty details in registry

103TM1800X

Specialty details in registry

103TS0200X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2155 N Park Ln Ste 216
North Charleston, SC 29406-9261

Phone: (843) 969-0297
Fax: (854) 258-5167

Mailing address

6565 WARD PKWY

MELBOURNE, FL 329043636

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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