Ravenell, Chantay

Ravenell, Chantay is an individual health care provider with primary practice located at 2611 Liberty Hill Rd , Camden SC 29020-1871. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Ravenell, Chantay can be contacted via phone (803) 432-5323.

Contact Information

Primary practice address
2611 Liberty Hill Rd Camden SC 29020-1871
Phone: (803) 432-5323
Fax: (803) 713-3978
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1639570542
LBN Legal business name Ravenell, Chantay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2014
Last updated Sep 10th, 2014 - about 12 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639570542 NPPES
South Carolina MEDICAID 457633

Popular Providers