LOWCOUNTRY PSYCHOTHERAPY ASSOCIATES P.A. NPI 1972796019

NPI Information

NPI: 1972796019
Provider Name: LOWCOUNTRY PSYCHOTHERAPY ASSOCIATES, P.A.
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
105 WAPPOO CREEK DR
SUITE 2A
CHARLESTON, SC
ZIP 29412
Phone: (843) 795-3585
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LOWCOUNTRY PSYCHOTHERAPY ASSOCIATES, P.A. is an adult mental health clinic center in Charleston, SC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. LOWCOUNTRY PSYCHOTHERAPY ASSOCIATES, P.A. NPI is 1972796019. The provider is registered as an organization entity type.

The provider's business location address is:

105 WAPPOO CREEK DR
SUITE 2A
CHARLESTON, SC
ZIP 29412-134
Phone: (843) 795-3585
Fax: (843) 795-9728

The provider's authorized official is Douglas Fountain Crane .
The authorized official title is President and has the following contact phone number (843) 795-3585.

The enumeration date for this NPI number is 8/22/2007 and was last updated on 8/22/2007.

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	261QM0850X	Clinic/Center	Adult Mental Health	7808	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	D17569	MEDICARE UPIN
2	078089	MEDICAID	SOUTH CAROLINA

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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