Individual provider · Type 1 NPI

Mariah Waller

Professional Counselor · Okatie, SC

NPI number 1366295933 Active

Practice location

719 Okatie Hwy
Okatie, SC 29909-3963

Call (843) 987-7400 Map

Mailing address

721 Okatie Hwy
Okatie, SC 29909-3963

Other practice locations

  • 20276A Timberlake Rd, Lynchburg, VA 24502-7214 · (434) 319-5528

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X9978 (SC)
Mental Health Counselor 101YM0800XNone listed

Professional Counselor: Definition to come...

15 other providers at this address

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About NPI 1366295933

Mariah Waller's National Provider Identifier is 1366295933, issued on Apr 11, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Okatie, SC. The record was last updated on Jun 15, 2026.