Provider Demographics
NPI:1134012933
Name:KLEJMENT-LAVIN, CAROLYN (LPC-A)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:KLEJMENT-LAVIN
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 1:306 MISTY GLEN CIR
Mailing Address - Street 2:
Mailing Address - City:IRMO
Mailing Address - State:SC
Mailing Address - Zip Code:29063-8956
Mailing Address - Country:US
Mailing Address - Phone:803-238-5895
Mailing Address - Fax:
Practice Address - Street 1:418 BARR RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-2363
Practice Address - Country:US
Practice Address - Phone:803-674-4060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10424101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor