Healthcare Provider Details

I. General information

NPI: 1972431021
Provider Name (Legal Business Name): DONOVAN HUNTER CZYZ LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 US-17 BUS SUITE 201, SURFSIDE BEACH, SC 29575 201
SURFSIDE BEACH SC
29575
US

IV. Provider business mailing address

178 SAND CREEK DR APT 4303
MURRELLS INLET SC
29576-3509
US

V. Phone/Fax

Practice location:
  • Phone: 843-481-0725
  • Fax:
Mailing address:
  • Phone: 843-285-6299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number18693
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: