Provider Demographics
NPI:1467624148
Name:YOUNTS, HEATHER CHERISE (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:CHERISE
Last Name:YOUNTS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:CHERISE
Other - Last Name:SCOGGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:405 PETTIGRU ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-3114
Mailing Address - Country:US
Mailing Address - Phone:864-271-3549
Mailing Address - Fax:864-271-8282
Practice Address - Street 1:405 PETTIGRU ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-3114
Practice Address - Country:US
Practice Address - Phone:864-271-3549
Practice Address - Fax:864-271-8282
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC301100Medicaid
SCNONEOtherNONE
SC3333Medicare PIN