IndividualActive
Acquanita Pettis, LCSW, LISW-CP
NPI 1508628033 · Clinical Psychologist · Rock Hill, SC
Provider details
- NPI number
- 1508628033
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- LCSW, LISW-CP
- Sex
- Female
- Sole proprietor
- No
- License
- 16505 (SC)
Practice location
1961 Brookstone Way Apt 304
Rock Hill, SC 29732-2688
Phone: (561) 503-8230
Mailing address
1961 Brookstone Way Apt 304
Rock Hill, SC 29732-2688
Registry dates
- Enumerated
- 2024-01-30
- Last updated
- 2024-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.