Provider Demographics
NPI:1922341122
Name:LACOUR, ARTHUR CHRISTOPHER II (MA,)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:CHRISTOPHER
Last Name:LACOUR
Suffix:II
Gender:M
Credentials:MA,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1059 EASTOVER DR
Mailing Address - Street 2:UNIT D
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3753
Mailing Address - Country:US
Mailing Address - Phone:843-330-5637
Mailing Address - Fax:
Practice Address - Street 1:1059 EASTOVER DR
Practice Address - Street 2:UNIT D
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3753
Practice Address - Country:US
Practice Address - Phone:843-330-5637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
5524101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional