Mrs Lora Chavis, LPC | |
204 Perry Wiley Way, Chesterfield, SC 29709-5701 | |
(843) 623-5080 | |
(843) 623-5087 |
Full Name | Mrs Lora Chavis |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 204 Perry Wiley Way, Chesterfield, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760821078 | NPI | - | NPPES |
SCS392 | Other | SC | MEDICARE |
PC1545 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 5540 (South Carolina) | Secondary |
101YM0800X | Counselor - Mental Health | 5540 (South Carolina) | Primary |
Entity Name | Caresouth Carolina Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720082571 PECOS PAC ID: 1052221314 Enrollment ID: O20040511000280 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lora Chavis, LPC Po Box 1090, Hartsville, SC 29551-1090 Ph: (843) 857-0111 | Mrs Lora Chavis, LPC 204 Perry Wiley Way, Chesterfield, SC 29709-5701 Ph: (843) 623-5080 |
Cynthia H. Griffin, MA Counselor Medicare: Medicare Enrolled Practice Location: 204 Perry Wiley Way, Chesterfield, SC 29709 Phone: 843-623-5080 Fax: 843-623-5087 | |
Mr. Jeffrey Lynn Mclain, CAC, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1477 Ted Melton Road, Chesterfield, SC 29709 Phone: 843-623-3077 Fax: 843-623-3077 | |
Miss Jessica Janai Mcmillan, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 East Blvd, Chesterfield, SC 29709 Phone: 843-623-7062 | |
Jina Hyde, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 East Blvd, Chesterfield, SC 29709 Phone: 843-623-7062 | |
Mrs. Shannon Marie Haigler, MSBS, LPCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Commerce Ave, Chesterfield, SC 29709 Phone: 843-623-2229 Fax: 803-773-5246 | |
Shakeanma Mcdougald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Perry Wiley Way, Chesterfield, SC 29709 Phone: 843-623-2229 | |
Mrs. Tammy Evette Crawford, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Perry Wiley Way, Chesterfield, SC 29709 Phone: 843-622-2229 Fax: 843-623-2553 |