Elizabeth M. Stradford
Individual provider Active NPI Counselor · Cassatt, SC
NPI 1255698668 · NPPES record last updated Apr 23, 2012
Key facts
- NPI
- 1255698668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1381 James West LN
Cassatt, SC 29032-9421 - Phone
- (803) 549-0900
- NPI assigned
- Apr 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | SC | Yes |
Addresses
Primary practice location
1381 James West LN
Cassatt, SC 29032-9421
Mailing address
PO Box 182
Camden, SC 29021-0182
Phone (803) 549-0900
Other providers in Cassatt, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.