Provider Demographics
NPI:1346086725
Name:RAYMES, CHAVA (LMFT)
Entity type:Individual
Prefix:
First Name:CHAVA
Middle Name:
Last Name:RAYMES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CHAVA
Other - Middle Name:
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2428 BLOSSOM ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29205-2327
Mailing Address - Country:US
Mailing Address - Phone:615-426-3911
Mailing Address - Fax:
Practice Address - Street 1:2428 BLOSSOM ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29205-2327
Practice Address - Country:US
Practice Address - Phone:615-426-3911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-03
Last Update Date:2024-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16551101YA0400X
SC8109106H00000X
TX204316106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)