Provider Demographics
NPI:1407278641
Name:LAFEVER-PITTMAN, ADRIENNE (LISW-CP)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:
Last Name:LAFEVER-PITTMAN
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:ADRIENNE
Other - Middle Name:
Other - Last Name:LAFEVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW-CP
Mailing Address - Street 1:841 S BUNCOMBE RD
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650
Mailing Address - Country:US
Mailing Address - Phone:864-752-0507
Mailing Address - Fax:864-416-3829
Practice Address - Street 1:841 S BUNCOMBE RD
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650
Practice Address - Country:US
Practice Address - Phone:864-752-0507
Practice Address - Fax:864-416-3829
Is Sole Proprietor?:No
Enumeration Date:2014-01-07
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
SC10412101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health