IndividualActive
Panora Wallace-Jackson, MA, LPC
NPI 1336329291 · Counselor · Hartsville, SC
Panora Wallace-Jackson, MA, LPC is a Counselor provider in Hartsville, SC (NPI 1336329291).
Provider details
- NPI number
- 1336329291
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- MA, LPC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
576 W Carolina Ave
Hartsville, SC 29550-5412
Phone: (843) 309-9340
Fax: (843) 309-9341
Street-level locationGet directions
Mailing address
576 W Carolina Ave
Hartsville, SC 29550-5412
Registry dates
- Enumerated
- 2007-11-08
- Last updated
- 2014-03-12
Frequently asked questions
- What is Panora Wallace-Jackson's NPI number?
- Panora Wallace-Jackson's National Provider Identifier (NPI) is 1336329291, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Panora Wallace-Jackson's specialty?
- Panora Wallace-Jackson is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Panora Wallace-Jackson located?
- Panora Wallace-Jackson's practice location on file with NPPES is 576 W Carolina Ave, Hartsville, SC 29550-5412.
- What is Panora Wallace-Jackson's phone number?
- The practice phone number listed in the NPPES registry for Panora Wallace-Jackson is (843) 309-9340.
- Is Panora Wallace-Jackson's NPI active?
- Yes — Panora Wallace-Jackson's NPI (1336329291) is active in the NPPES registry as of the last update on 2014-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.