Provider Demographics
NPI:1720579162
Name:O'NEAL, ABBY CHARIS (MS, LPC)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:CHARIS
Last Name:O'NEAL
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1428 W PALMETTO ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-4130
Mailing Address - Country:US
Mailing Address - Phone:843-858-6874
Mailing Address - Fax:
Practice Address - Street 1:549 W EVANS ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-3407
Practice Address - Country:US
Practice Address - Phone:843-667-4949
Practice Address - Fax:843-667-3349
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-22
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLPC7563101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor