Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinton Douglas Prevatte

Individual provider Mental Health Counselor · NPI 1841764693

Clinton Douglas Prevatte is a Mental Health Counselor in Conway, South Carolina. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

164 Waccamaw Medical Park Dr
Conway, SC 29526-8903
Phone: (843) 347-5060
Fax: (843) 347-3959
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1841764693
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 15, 2019
Last updated in NPPESJanuary 15, 2019

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