MS. PSHANDA CHANTE PUGH (NPI# 1578968988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578968988 |
| Entity Type | Individual |
| Full Name | MS. PSHANDA CHANTE PUGH |
| Credential | MA, LPC |
| Practice Address |
1208 Dunraven Ct Conway SC 29527-3170 |
| Practice Telephone | 8432834789 |
| Mailing Telephone | 8432834789 |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 9172 | NC | Behavioral Health & Social Service Providers |
| Street Address |
1208 DUNRAVEN CT |
| City | CONWAY |
| State | SC |
| Zip Code | 29527-3170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245511435 | Rocky Mountain Holdings LLC | Ambulance | 1700 Airport Road, Conway, SC 29527 | 2011-09-01 |
| 1295946838 | Bonnie Jean Miller | Occupational Therapy Assistant | 3300 4th. Ave., Conway, SC 29527 | 2007-05-25 |
| 1255987269 | Mansi D Patel | In Home Supportive Care | 2408 Westbrook Dr, Conway, SC 29527-3150 | 2019-08-15 |
| 1104862788 | James R Bean | Physician Assistant | 1013 Dunraven Ct, Conway, SC 29527-3154 | 2006-06-21 |
| 1194255315 | Canisha Sharron Rice | Home Health | 1213 Cymmer Ct, Conway, SC 29527-3165 | 2017-06-20 |
| 1205457017 | Heather Melton Lee | Specialist/Technologist | 252 Maidens Choice Rd, Conway, SC 29527-3418 | 2020-05-04 |
| 1093336760 | Chelsea Kamens | Registered Nurse | 357 Shallow Cove Dr, Conway, SC 29527-3458 | 2020-05-04 |
| 1538628193 | Jasmine L Gaddy | Home Health | 728 Rose Moss Rd, Conway, SC 29527-3579 | 2019-03-13 |
| 1801213327 | Tonya Peavy | Registered Nurse | 729 Brown Swamp Rd, Conway, SC 29527-3636 | 2014-03-21 |
| 1528489192 | Scott K Grainger | Counselor | 105 Hampton Ridge Rd, Conway, SC 29527-3975 | 2013-12-26 |
| Find all providers in zip 29527 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442565 | Deandriea Bass-carrigan | Counselor | 1570 Rachel Dr, Conway, AR 72032-8619 | 2020-06-22 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1609244151 | Matthew Spicer | Counselor | 1051 Hogan Ln, Conway, AR 72034-9126 | 2015-09-14 |
| 1013294560 | Susan Ann Mclean | Counselor | 172 Waccamaw Medical Park Ct, Conway, SC 29526-8965 | 2011-11-11 |
| 1730474560 | Pamela Hendrixson | Counselor | 2159 Prince St, Suite B, Conway, AR 72034-3737 | 2011-06-09 |
| 1174832174 | Latoya Bernice Gathers | Counselor | 1632 9th Ave, Conway, SC 29527-4848 | 2010-09-25 |
| 1700023876 | Scarlett Evert | Counselor | 575 Harkrider St, Conway, AR 72032-5631 | 2009-01-12 |
| 1275722555 | Shavonne Renee Richardson | Counselor | 900c Main St, Suite B, Conway, SC 29526-4025 | 2007-10-23 |
| 1972795458 | Jessica E Goodwin | Counselor | 164 Waccamaw Medical Park, Conway, SC 29526-8903 | 2007-08-17 |
| 1609085919 | Jonathan Michael Glass | Counselor | 204 University Blvd, Conway, SC 29526-8834 | 2007-05-22 |
| Find all providers in CONWAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.