Provider Demographics
NPI:1841949070
Name:CHAPMAN, BUFFY R (LPC-A)
Entity type:Individual
Prefix:
First Name:BUFFY
Middle Name:R
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 WYNDOTTE CT
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-6970
Mailing Address - Country:US
Mailing Address - Phone:803-920-8794
Mailing Address - Fax:
Practice Address - Street 1:455 SAINT ANDREWS RD STE D1
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-4488
Practice Address - Country:US
Practice Address - Phone:803-638-4688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7977101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional