Provider Demographics
NPI:1922743889
Name:JOSTES, PRISCILLA HENNECY (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:PRISCILLA
Middle Name:HENNECY
Last Name:JOSTES
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 BRADFORD DR
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:SC
Mailing Address - Zip Code:29369-9301
Mailing Address - Country:US
Mailing Address - Phone:864-381-8372
Mailing Address - Fax:864-778-8434
Practice Address - Street 1:150 BRADFORD DRIVE
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:SC
Practice Address - Zip Code:29369
Practice Address - Country:US
Practice Address - Phone:864-381-8372
Practice Address - Fax:864-778-8434
Is Sole Proprietor?:No
Enumeration Date:2022-05-04
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9501101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health