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NPI Code Detail

MEDICARE: AUDREY SAWYER GODFREY LPC

MEDICARE:   AUDREY SAWYER GODFREY  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor7864SC

General Provider Information

NPI Number : 1609572981
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUDREY SAWYER GODFREY LPC
Provider Business Mailing Address
First Line : 1068 BENNINGTON DR
Second Line :
City : CHARLESTON
State : SC
Zip : 29492-8473
Country : US
Telephone Number : 352-408-0363
Fax Number :
Provider Business Practice Location Address
First Line : 890 JOHNNIE DODDS BLVD BLDG 3
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-6129
Country : US
Telephone Number : 843-884-3888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2023
Last Update Date : 12/15/2025

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Directions to “ AUDREY SAWYER GODFREY LPC” Practice Location

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