Provider Demographics
NPI:1396819082
Name:WHITE, JAMES SPRATT V (LPC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:SPRATT
Last Name:WHITE
Suffix:V
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:JAY
Other - Middle Name:SPRATT
Other - Last Name:WHITE
Other - Suffix:V
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:1300 HOSPITAL DR
Mailing Address - Street 2:SUITE 270
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3261
Mailing Address - Country:US
Mailing Address - Phone:843-478-1776
Mailing Address - Fax:843-884-5734
Practice Address - Street 1:1300 HOSPITAL DR
Practice Address - Street 2:SUITE 270
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3261
Practice Address - Country:US
Practice Address - Phone:843-478-1776
Practice Address - Fax:843-884-5734
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4619101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health