Provider Demographics
NPI:1730587213
Name:HOLEMAN, LORRAINE HAMPTON (LPC)
Entity type:Individual
Prefix:MRS
First Name:LORRAINE
Middle Name:HAMPTON
Last Name:HOLEMAN
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 1:429 ROPER MOUNTAIN ROAD, SUITE 901
Mailing Address - Street 2:SUITE 901
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615
Mailing Address - Country:US
Mailing Address - Phone:864-778-2137
Mailing Address - Fax:
Practice Address - Street 1:429 ROPER MOUNTAIN ROAD
Practice Address - Street 2:SUITE 901
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615
Practice Address - Country:US
Practice Address - Phone:864-778-2137
Practice Address - Fax:864-448-1469
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-15
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5813101YP2500X
SC6756101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional