CHALLIS EVELYN RUSSELL MA LPC NPI 1467127175

NPI Information

NPI: 1467127175
Provider Name: CHALLIS EVELYN RUSSELL, MA, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
141 MCDONALD CT
MYRTLE BEACH, SC
ZIP 29588
Phone: (843) 294-0646
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Challis Evelyn Russell, MA, LPC is a professional counselor in Myrtle Beach, SC. Challis Evelyn Russell, MA, LPC NPI is 1467127175. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

141 MCDONALD CT
MYRTLE BEACH, SC
ZIP 29588-134
Phone: (843) 294-0646
Fax: (843) 294-0318

The enumeration date for this NPI number is 8/13/2021 and was last updated on 8/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	7920	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7920	OTHER	SOUTH CAROLINA	LPC.7920 PC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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