Provider Demographics
NPI:1487988952
Name:WEST, JAMES RENAURD SR (LPC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:RENAURD
Last Name:WEST
Suffix:SR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3150 S HIGHWAY 14
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-5904
Mailing Address - Country:US
Mailing Address - Phone:864-335-9977
Mailing Address - Fax:
Practice Address - Street 1:1010 BENT CREEK RUN DR
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-6965
Practice Address - Country:US
Practice Address - Phone:864-335-9977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1430101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional