Donna McLlwain

Individual provider Active NPI Mental Health Counselor · Suite 300, SC

NPI 1700919396 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1700919396
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
223 E Main Street
Suite 300, SC 29720
Phone
(803) 328-9600
Fax
(803) 329-7141
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

223 E Main Street
Suite 300, SC 29720

Mailing address

1906 Highway 521 Byp S
Lancaster, SC 29720-7579
Phone (803) 285-7456

Sources for this page

Verify at the official NPI Registry.