Provider Demographics
NPI:1952142119
Name:WALTER, DEANNA SINK (LPC-A)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:SINK
Last Name:WALTER
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 1:713 LONG POINT RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-8226
Mailing Address - Country:US
Mailing Address - Phone:843-901-4459
Mailing Address - Fax:
Practice Address - Street 1:713 LONG POINT RD
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-8226
Practice Address - Country:US
Practice Address - Phone:843-901-4459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8989101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health