Healthcare Provider Details

I. General information

NPI: 1427561729
Provider Name (Legal Business Name): DENISE RENEE GARVER M.A., NCC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2017
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5032 SOUTHBROOK DR
KINGS MOUNTAIN NC
28086-8488
US

IV. Provider business mailing address

5032 SOUTHBROOK DR
KINGS MOUNTAIN NC
28086-8488
US

V. Phone/Fax

Practice location:
  • Phone: 724-841-2441
  • Fax:
Mailing address:
  • Phone: 724-841-2441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC010085
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: