SearchSouth Carolina101YM0800X

Patricia Costilla, LPC

NPI 1184194250 · on the registry since 2018 · sole proprietor

Practice

Address
1140 Boone Hill Rd Ste A
Summerville, SC 29483
Phone
(843) 695-9997
Fax
(854) 300-4965
Organisation at this address
Second Wind Life Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YM0800X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina