person
Mrs. Lora Chavis, LPC
Mental Health Counselor in Chesterfield, South Carolina
NPI 1760821078

Lora Chavis is a Mental Health Counselor based in Hartsville, SC and is specialized in Mental Health. Lora Chavis practices in Chesterfield, SC and has the professional credentials of LPC. The NPI Number for Lora Chavis is 1760821078 and holds a License No. 5540 (South Carolina).

The current practice location address for Lora Chavis is 204 Perry Wiley Way, Chesterfield, SC and can be reached out via phone at 843-623-5080 and via fax at 843-623-5087.

Location: 204 Perry Wiley Way, Chesterfield, SC, 29551-1090
person
Provider Profile Details
NPI Number
1760821078
Provider Name
Lora Chavis
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
204 Perry Wiley Way, Chesterfield, SC, 29551-1090
Phone Number
843-623-5080
Fax Number
843-623-5087
Provider Enumeration Date
06/19/2013
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SCS392 01 SC MEDICARE
PC1545 05 SC
institution
Provider Business Practice Location Address Details
Address
204 Perry Wiley Way
City
State
Zip
29709-5701
Phone Number
843-623-5080
Fax Number
843-623-5087
person
Provider Business Mailing Address Details
Address
204 Perry Wiley Way
City
State
Zip
29709-5701
Phone Number
843-623-5080
Fax Number
843-623-5087
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5540 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5540 (South Carolina)
Definition
Definition to come...
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