Provider Demographics
NPI:1386326569
Name:MANGLONA-ALEXANDER, LORNA ANN (LPC)
Entity type:Individual
Prefix:
First Name:LORNA
Middle Name:ANN
Last Name:MANGLONA-ALEXANDER
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 1:160 PAVILION ST
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-8444
Mailing Address - Country:US
Mailing Address - Phone:803-361-9144
Mailing Address - Fax:
Practice Address - Street 1:255 N HIGHWAY 52
Practice Address - Street 2:
Practice Address - City:MONCKS CORNER
Practice Address - State:SC
Practice Address - Zip Code:29461-3927
Practice Address - Country:US
Practice Address - Phone:877-761-8783
Practice Address - Fax:803-761-2595
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-07
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7063101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional