MEDICARE: AMY MARGARET CHITWOOD 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
1	101YP2500X	Professional Counselor	10710	SC

General Provider Information

NPI Number	:	1700724408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY MARGARET CHITWOOD LPC

Provider Business Mailing Address
First Line	:	1435 STUART ENGALS BLVD STE 201
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-7312
Country	:	US
Telephone Number	:	854-205-0552
Fax Number	:

Provider Business Practice Location Address
First Line	:	1435 STUART ENGALS BLVD STE 201
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-7312
Country	:	US
Telephone Number	:	854-205-0552
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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