| Doctor Name: | MRS. LORA C, CHAVIS |
| NPI Number: | 1760821078 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 5540 |
| Business Practice Address: | 737 S Main St Society Hill, SC - 295938972 |
| Business Phone Number: | 8433784501 |
| Business Fax Number: | 8433784209 |
| Mailing Address: | Po Box 1090, HARTSVILLE |
| State: | SC |
| Postal Code: | 295511090 |
| Phone Number: | 8438570111 |
| Fax Number: | 8438570206 |
| NPI Enumeration Date: | 06/19/2013 |
| NPI Last Update Date: | 07/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 5540 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |