Healthcare Provider Details

I. General information

NPI: 1649461864
Provider Name (Legal Business Name): DAVID K READ LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 11/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 VINE CREST CT SUITE 300
GREENWOOD SC
29646
US

IV. Provider business mailing address

105 VINE CREST COURT SUITE 700
GREENWOOD SC
29646
US

V. Phone/Fax

Practice location:
  • Phone: 864-223-5111
  • Fax: 864-223-9245
Mailing address:
  • Phone: 864-943-4859
  • Fax: 864-943-0718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number4851
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: