Provider Demographics
NPI:1508110594
Name:JAMES, BLANCHIE J (LPC, LPC/S)
Entity Type:Individual
Prefix:
First Name:BLANCHIE
Middle Name:J
Last Name:JAMES
Suffix:
Gender:F
Credentials:LPC, LPC/S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 JODY ROAD
Mailing Address - Street 2:SUITE E
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501
Mailing Address - Country:US
Mailing Address - Phone:843-317-4021
Mailing Address - Fax:843-317-4018
Practice Address - Street 1:2120 W JODY RD
Practice Address - Street 2:SUITE E
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-2008
Practice Address - Country:US
Practice Address - Phone:843-317-4021
Practice Address - Fax:843-317-4018
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-30
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4746101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional