Provider Demographics
NPI:1154462760
Name:CAPPS, LOIS W (LPC SC 4074)
Entity Type:Individual
Prefix:MRS
First Name:LOIS
Middle Name:W
Last Name:CAPPS
Suffix:
Gender:F
Credentials:LPC SC 4074
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 EAST A AVE
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29640
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:864-855-6115
Practice Address - Street 1:813 EAST A AVE
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640
Practice Address - Country:US
Practice Address - Phone:864-979-2651
Practice Address - Fax:864-855-6115
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC4074 LPC101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor