MEDICARE: LAURA CHRISTINE BOAMAN MS CMHC, LPCA

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	101YM0800X	Mental Health Counselor	10713	SC

General Provider Information

NPI Number	:	1952261471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA CHRISTINE BOAMAN MS CMHC, LPCA

Provider Business Mailing Address
First Line	:	397 CULVER AVE
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-2252
Country	:	US
Telephone Number	:	843-991-0876
Fax Number	:

Provider Business Practice Location Address
First Line	:	815 SAVANNAH HWY STE 204
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-7351
Country	:	US
Telephone Number	:	843-865-6850
Fax Number	:

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

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	02/09/2026

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