Provider Demographics
NPI:1376344051
Name:BONNEAU, LOTTE FRIEND (LISW-CP)
Entity type:Individual
Prefix:MRS
First Name:LOTTE
Middle Name:FRIEND
Last Name:BONNEAU
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1465 RUSLIN RD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-6505
Mailing Address - Country:US
Mailing Address - Phone:603-674-0845
Mailing Address - Fax:603-674-0845
Practice Address - Street 1:502 CHERRY RD STE AND202
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3118
Practice Address - Country:US
Practice Address - Phone:843-501-1099
Practice Address - Fax:803-405-2040
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC169701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical