| Provider / Organization | NPI | Date Certified |
|---|---|---|
| RAVEN SYMONE VAUGHT | 1679216790 | 2022-05-08 |
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 Type | Individual |
| Provider Name | Raven Symone Vaught LISW-CP |
| Practice Office Address | 1330 TAYLOR STREET COLUMBIA, SC US |
| Practice Office Telephone | 8032728055 |
| Mailing Address | 405 SANDRIDGE RD LITTLE RIVER, SC 295667504 US |
| Business Telephone | 8032728055 |
| CONNECT URL [] | Columbia |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access 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 |