Healthcare Provider Details

I. General information

NPI: 1851348056
Provider Name (Legal Business Name): SANDRA LEAHAN DOAR LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7436 FOREST CT
IRMO SC
29063-2856
US

IV. Provider business mailing address

111 OAKS CT
LEXINGTON SC
29072-7496
US

V. Phone/Fax

Practice location:
  • Phone: 803-673-0902
  • Fax: 866-596-8266
Mailing address:
  • Phone: 803-673-0902
  • Fax: 866-596-8266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4089
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: