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Provider Information for 1265068571


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BETHANY TSCHAPPAT LPC


Sex: Female

NPI: 1265068571
Last Updated: 2024-02-07
Certification Date: 2024-02-07

Details

NameValue
NPI1265068571
Enumeration Date2020-03-18
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 7242
AIKEN, SC 29804-7242
United States

Phone: 803-845-9299 | Fax:
 
Primary Practice Address 1892 HUCKLEBERRY DR
AIKEN, SC 29803-5882
United States

Phone: 803-845-9299 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101Y00000X - Counselor SC8503
Yes 101YM0800X - Counselor - Mental HealthSC8503