NPI Registry.org

Raven Symone Vaught

NPI Registration Record

Provider / OrganizationNPIDate Certified
RAVEN SYMONE VAUGHT16792167902022-05-08

Raven Symone Vaught is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1679216790. Registration indicates Raven Symone Vaught is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )

Entity TypeIndividual
Provider Name Raven Symone Vaught LISW-CP
Practice Office Address1330 TAYLOR STREET
COLUMBIA, SC US
Practice Office Telephone8032728055
Mailing Address405 SANDRIDGE RD
LITTLE RIVER, SC 295667504 US
Business Telephone8032728055
Contact Endpoints
CONNECT URL []Columbia
HPT Codes
CodePractice
License No
State
1041C0700X PRIMARYAccess to Mental Health/Behavioral Health Providers
Behavioral Health & Social Service Providers
Social Worker
Behavioral Health & Social Service Providers
Social Worker
Social Worker: Clinical

Behavioral Health/Substance Abuse/Psychiatry

Social Worker Clinical
Behavioral Health & Social Service Providers
Social Worker
15039
SC
OPI Codes
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