DEMETRIAS CHISOLM
NPI 1053404251
Counselor - Professional in N Charleston, SC

Active since October 02, 2006
3945 RIVERS AVE, N CHARLESTON, SC 29405(843) 345-5037 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2021, Jun 22, 2020 (2 updates tracked since 2020).

About Demetrias Chisolm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMETRIAS CHISOLM (NPI 1053404251) is an individual professional provider in N Charleston, South Carolina, licensed in South Carolina (7692) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1053404251
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDEMETRIAS CHISOLM
Location Address3945 RIVERS AVEN Charleston, SC 29405-7042
Mailing Address9867 Black Tupelo LnLadson, SC 29456-8536 · (843) 345-5037
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateFebruary 24, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2021
NPI 1053404251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in SC · 7692
3945 RIVERS AVE, N Charleston, SC 29405

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
3945 RIVERS AVE
NORTH CHARLESTON, SC 29405
Counselor (Mental Health)
3945 RIVERS AVE
NORTH CHARLESTON, SC 29405
Counselor (Professional)
3945 RIVERS AVE
NORTH CHARLESTON, SC 29405
Counselor (Mental Health)
3945 RIVERS AVE
NORTH CHARLESTON, SC 29405
Counselor (Mental Health)
3945 RIVERS AVE
NORTH CHARLESTON, SC 29405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demetrias Chisolm's NPI number?

The NPI number for Demetrias Chisolm is 1053404251. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Demetrias Chisolm located?

Demetrias Chisolm practices at 3945 Rivers Ave, N Charleston, SC 29405. The listed phone number is (843) 345-5037.

What is Demetrias Chisolm's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Demetrias Chisolm was last updated on February 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.