Provider Demographics
NPI:1417428228
Name:HEPLER, SKYLAR WOODBERRY (LPC)
Entity Type:Individual
Prefix:MRS
First Name:SKYLAR
Middle Name:WOODBERRY
Last Name:HEPLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2012 WOODTRAIL DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-6638
Mailing Address - Country:US
Mailing Address - Phone:843-450-3109
Mailing Address - Fax:
Practice Address - Street 1:2012 WOODTRAIL DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-6638
Practice Address - Country:US
Practice Address - Phone:843-450-3109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6651101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health