Healthcare Provider Details

I. General information

NPI: 1114849478
Provider Name (Legal Business Name): JONATHAN RAY MCCLAIN LPC-A
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3390 BRUSHY CREEK RD
GREER SC
29650-1002
US

IV. Provider business mailing address

217 GLASTONBURY DR
GREER SC
29651-5087
US

V. Phone/Fax

Practice location:
  • Phone: 864-660-3521
  • Fax:
Mailing address:
  • Phone: 864-660-3521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10323
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: