Provider Demographics
NPI:1679841621
Name:GLOVER, DEBBIE P (LPC)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:P
Last Name:GLOVER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:P
Other - Last Name:GLOVER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 52324
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-2324
Mailing Address - Country:US
Mailing Address - Phone:843-860-8518
Mailing Address - Fax:888-972-4892
Practice Address - Street 1:810 TRAVELERS BLVD
Practice Address - Street 2:SUITE H1
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-8258
Practice Address - Country:US
Practice Address - Phone:843-860-8518
Practice Address - Fax:888-972-4892
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-06
Last Update Date:2017-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5377101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional