Provider Demographics
NPI:1942549647
Name:SANDERS, TAURUS D (MA, LPC, LAC)
Entity Type:Individual
Prefix:MR
First Name:TAURUS
Middle Name:D
Last Name:SANDERS
Suffix:
Gender:M
Credentials:MA, LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 724
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29202-0724
Mailing Address - Country:US
Mailing Address - Phone:803-250-6456
Mailing Address - Fax:803-916-9477
Practice Address - Street 1:801 GERVAIS ST STE 2B
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-3125
Practice Address - Country:US
Practice Address - Phone:803-250-6456
Practice Address - Fax:803-916-9477
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-31
Last Update Date:2024-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPC1521Medicaid