Provider Demographics
NPI:1326007436
Name:BOATWRIGHT, BECKI HINSON (MAE, PHD, LPC, LPCS)
Entity Type:Individual
Prefix:DR
First Name:BECKI
Middle Name:HINSON
Last Name:BOATWRIGHT
Suffix:
Gender:F
Credentials:MAE, PHD, LPC, LPCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 SUMMIT PL
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-2401
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1900 DEVONSHIRE
Practice Address - Street 2:#6
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-2401
Practice Address - Country:US
Practice Address - Phone:803-931-0413
Practice Address - Fax:803-799-1647
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2111101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health