Chavis, Lora

Chavis, Lora is an individual health care provider with primary practice located at 204 Perry Wiley Way , Chesterfield SC 29709-5701. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Chavis, Lora can be contacted via phone (843) 623-5080.

Contact Information

Primary practice address
204 Perry Wiley Way Chesterfield SC 29709-5701
Phone: (843) 623-5080
Fax: (843) 623-5087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5540 South Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5540 South Carolina

Profile Details

NPI number 1760821078
LBN Legal business name Chavis, Lora
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2013
Last updated Feb 29th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760821078 NPPES
South Carolina Other SCS392 MEDICARE
South Carolina MEDICAID PC1545 MEDICARE

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