Healthcare Provider Details

I. General information

NPI: 1861841371
Provider Name (Legal Business Name): ANNA YAGER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNA PAUL

II. Dates (important events)

Enumeration Date: 06/06/2016
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 PERRY WILEY WAY
CHESTERFIELD SC
29709-5701
US

IV. Provider business mailing address

PO BOX 1090
HARTSVILLE SC
29551-1090
US

V. Phone/Fax

Practice location:
  • Phone: 843-623-5080
  • Fax: 843-623-5087
Mailing address:
  • Phone: 843-857-0111
  • Fax: 843-309-8126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number7901
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: