Doctor Name: | LAURA POINDEXTER |
NPI Number: | 1023155066 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 20 Powderhorn Rd Simpsonville, SC - 296813399 |
Business Phone Number: | 8649633421 |
Business Fax Number: | 8649620758 |
Mailing Address: | 20 Powderhorn Rd, SIMPSONVILLE |
State: | SC |
Postal Code: | 296813399 |
Phone Number: | 8649633421 |
Fax Number: | 8649620758 |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |