Provider Demographics
NPI:1598364218
Name:EWING, DENA M (LPC, ATR-BC)
Entity type:Individual
Prefix:
First Name:DENA
Middle Name:M
Last Name:EWING
Suffix:
Gender:
Credentials:LPC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4730 MARLBORO RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-4643
Mailing Address - Country:US
Mailing Address - Phone:954-559-2646
Mailing Address - Fax:
Practice Address - Street 1:669 MARINA DR STE B6
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29492-8120
Practice Address - Country:US
Practice Address - Phone:954-559-2646
Practice Address - Fax:843-892-0394
Is Sole Proprietor?:No
Enumeration Date:2020-10-23
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7636101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional