Healthcare Provider Details

I. General information

NPI: 1861525669
Provider Name (Legal Business Name): LAVON CAIN PINDER M.A. LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 MERITT DR
PAMPLICO SC
29583-6809
US

IV. Provider business mailing address

PO BOX 373
PAMPLICO SC
29583-0373
US

V. Phone/Fax

Practice location:
  • Phone: 843-638-3884
  • Fax: 843-619-0145
Mailing address:
  • Phone: 843-638-3884
  • Fax: 843-619-0145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4767
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: