Provider Demographics
NPI:1932434602
Name:WEAVER, ANGELA CHARPIA (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:CHARPIA
Last Name:WEAVER
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 GAMECOCK AVE STE 304A
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-3378
Mailing Address - Country:US
Mailing Address - Phone:843-771-3893
Mailing Address - Fax:866-619-6736
Practice Address - Street 1:3 GAMECOCK AVE STE 304A
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-3378
Practice Address - Country:US
Practice Address - Phone:843-771-3893
Practice Address - Fax:866-619-6736
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-13
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5406101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional