Provider Demographics
NPI:1366455586
Name:VOTION, GINA DECKER (LISWCP)
Entity Type:Individual
Prefix:MS
First Name:GINA
Middle Name:DECKER
Last Name:VOTION
Suffix:
Gender:F
Credentials:LISWCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 236
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29071-9340
Mailing Address - Country:US
Mailing Address - Phone:803-957-4017
Mailing Address - Fax:803-957-2223
Practice Address - Street 1:518 E MAIN ST
Practice Address - Street 2:SUITE #2
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-9340
Practice Address - Country:US
Practice Address - Phone:803-957-4017
Practice Address - Fax:803-957-2223
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC005024 LISW-CP1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical