IndividualActive
Alexandra Boutakova-Klintworth, LPC
NPI 1881241065 · Mental Health Counselor · Pawleys Island, SC
Provider details
- NPI number
- 1881241065
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5691 (SC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
14323 Ocean Hwy Unit 4111
Pawleys Island, SC 29585-4817
Phone: (843) 235-9960
Approximate (ZIP-level) locationGet directions
Mailing address
14323 Ocean Hwy Unit 4111
Pawleys Island, SC 29585-4817
Registry dates
- Enumerated
- 2019-08-21
- Last updated
- 2019-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.