Provider Demographics
NPI:1841160066
Name:SOUTH CAROLINA INSTITUTE FOR SEXUAL INTEGRITY
Entity type:Organization
Organization Name:SOUTH CAROLINA INSTITUTE FOR SEXUAL INTEGRITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LPCS, CSAT
Authorized Official - Phone:803-381-3863
Mailing Address - Street 1:2472 MINERAL SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-9211
Mailing Address - Country:US
Mailing Address - Phone:803-381-3863
Mailing Address - Fax:
Practice Address - Street 1:2472 MINERAL SPRINGS RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-9211
Practice Address - Country:US
Practice Address - Phone:803-381-3863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-11
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty