OrganizationActive
Family Wellness Center of Charleston, LLC
NPI 1619367745 · Clinic/Center · North Charleston, SC
Provider details
- NPI number
- 1619367745
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stania Dejesus, Owner(843) 729-8269
- License
- 1175 (SC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% 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
9217 University Blvd
C1b
North Charleston, SC 29406-9147
Phone: (843) 729-8269
Street-level locationGet directions
Mailing address
9217 University Blvd
North Charleston, SC 29406-9147
Registry dates
- Enumerated
- 2015-01-27
- Last updated
- 2015-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.