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

Individual provider Mental Health Counselor · NPI 1770174500

Michaela Buckhannon, LISWCP is a Mental Health Counselor in Charleston, South Carolina. Works from 3 locations. Licensed in South Carolina.

Licensed in
SC
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-5650
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4 27th Ave Apt A, Isle Of Palms, SC 29451-2402 — (843) 603-1213
  • 268 W Coleman Blvd Ste A, Mount Pleasant, SC 29464-5650 — (843) 936-2566

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 14019 (SC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 14019 (SC)

Record details

NPI number1770174500
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISWCP
Sole proprietorNo
NPI enumeratedFebruary 3, 2021
Last updated in NPPESMay 13, 2022
Certification dateMay 13, 2022

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