Provider Demographics
NPI:1790926327
Name:GARVIN, HOPE MELINDA (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:HOPE
Middle Name:MELINDA
Last Name:GARVIN
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 1:93 STERLING CROSS CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7732
Mailing Address - Country:US
Mailing Address - Phone:803-419-7961
Mailing Address - Fax:
Practice Address - Street 1:93 STERLING CROSS CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-7732
Practice Address - Country:US
Practice Address - Phone:803-419-7961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-11
Last Update Date:2012-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5359101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional