Individual provider · Type 1 NPI

Charles Taylor Hudson

Peer Specialist · Fairfax, SC

NPI number 1104756345 Active

Practice location

333 Revolutionary Trl
Fairfax, SC 29827-7109

Call (803) 632-2533 Map

Fax (803) 259-3250

Other practice locations

  • 86 Wren St, Barnwell, SC 29812-1529 · (803) 259-5762

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X2733 (SC)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

13 other providers at this address

About NPI 1104756345

Charles Taylor Hudson's National Provider Identifier is 1104756345, issued on May 20, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Fairfax, SC. The record was last updated on May 20, 2026.