Healthcare Provider Details
I. General information
NPI: 1881508679
Provider Name (Legal Business Name): SAVASHA BUTLER LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 CARRIAGE LN STE 102
CHARLESTON SC
29407-6060
US
IV. Provider business mailing address
1348 HERMITAGE AVE
CHARLESTON SC
29412-9245
US
V. Phone/Fax
- Phone: 843-284-6469
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 11207 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: