Provider Demographics
NPI:1730613290
Name:SPRIGGS, AVERY MICHELE (MA, LPC, LCMHC)
Entity type:Individual
Prefix:
First Name:AVERY
Middle Name:MICHELE
Last Name:SPRIGGS
Suffix:
Gender:X
Credentials:MA, LPC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6650 RIVERS AVE STE 105 PMB 35942
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-4829
Mailing Address - Country:US
Mailing Address - Phone:843-989-3995
Mailing Address - Fax:
Practice Address - Street 1:3030 ASHLEY TOWN CENTER DR STE 203B
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-5678
Practice Address - Country:US
Practice Address - Phone:843-989-3995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-11
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC012465101YP2500X
SCLPC.7467101YP2500X
NC12847101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional