IndividualActive
Benjamin Waller, LPC
NPI 1740162940 · Counseling Psychologist · Columbia, SC
Provider details
- NPI number
- 1740162940
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- License
- 11128 (SC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2113 Adams Grv Ste 110
Columbia, SC 29203-6957
Phone: (803) 206-5948
Approximate (ZIP-level) locationGet directions
Mailing address
1118 Benton St
Columbia, SC 29201-1816
Registry dates
- Enumerated
- 2025-07-21
- Last updated
- 2025-07-21
- Certified
- 2025-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.