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CLINTON DOUGLAS PREVATTE
NPI 1841764693
Counselor - Mental Health in Conway, SC

Active since January 15, 2019
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526(843) 347-5060(843) 347-3959 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Clinton Douglas Prevatte NPPES

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

CLINTON DOUGLAS PREVATTE (NPI 1841764693) is an individual mental health provider in Conway, South Carolina and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1841764693
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCLINTON DOUGLAS PREVATTE
Location Address164 WACCAMAW MEDICAL PARK DRConway, SC 29526-8903
Mailing Address164 Waccamaw Medical Park DrConway, SC 29526-8903 · (843) 347-5060 · Fax (843) 347-3959
Phone(843) 347-5060
Fax(843) 347-3959
Sole ProprietorNo
Enumeration DateJanuary 15, 2019
✔ NPI 1841764693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
164 WACCAMAW MEDICAL PARK DR, Conway, SC 29526
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Other Providers at the Same Location NPPES 20

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

MS. TAWAN BINNETTA ALSTON
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
MONICA LYNN JOHNSON MSW
Social Worker
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
EMMETT MICHAEL LAMPKIN MD
Psychiatry & Neurology (Psychiatry)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
JANNIE LANCE MORANT
Counselor (Mental Health)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
JOSEPH E DEKINE
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
DR. EDWARD H CONNOR PH.D.
Counselor (Professional)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
RICHARD MOORER DANTZLER
Counselor
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060
MEGHAN NESMITH
Counselor (Mental Health)
164 WACCAMAW MEDICAL PARK DR
CONWAY, SC 29526
Horry County (843) 347-5060

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 Clinton Prevatte's NPI number?

The NPI number for Clinton Prevatte is 1841764693. It was assigned to this individual provider in the NPPES registry on January 15, 2019.

Where is Clinton Prevatte located?

Clinton Prevatte practices at 164 Waccamaw Medical Park Dr, Conway, SC 29526. The listed phone number is (843) 347-5060.

What is Clinton Prevatte's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Clinton Prevatte was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.