Provider Demographics
NPI:1902463763
Name:MCKELVIN, FRANKIE (LPC)
Entity Type:Individual
Prefix:
First Name:FRANKIE
Middle Name:
Last Name:MCKELVIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2712 MIDDLEBURG DR STE 207B
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-2445
Mailing Address - Country:US
Mailing Address - Phone:803-556-9439
Mailing Address - Fax:803-419-7497
Practice Address - Street 1:2712 MIDDLEBURG DR STE 207B
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-2445
Practice Address - Country:US
Practice Address - Phone:803-556-9439
Practice Address - Fax:803-419-7497
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-28
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7124101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor