Healthcare Provider Details

I. General information

NPI: 1346855228
Provider Name (Legal Business Name): CHRISTOPHER B. BRIGGMAN LCMHCA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: CHRISTOPHER B. BRIGGMAN LCMHCA, CRC

II. Dates (important events)

Enumeration Date: 09/09/2020
Last Update Date: 09/09/2020
Certification Date: 09/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 MIXSON AVE APT 322
NORTH CHARLESTON SC
29405-3227
US

IV. Provider business mailing address

4501 MIXSON AVE APT 322
NORTH CHARLESTON SC
29405-3227
US

V. Phone/Fax

Practice location:
  • Phone: 803-404-2899
  • Fax:
Mailing address:
  • Phone: 803-404-2899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA13716
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: