Lowcountry Psychotherapy Associates, P.a.
Organization Active NPI Adult Mental Health Clinic/Center · Charleston, SC
NPI 1972796019 · NPPES record last updated Aug 22, 2007
Key facts
- NPI
- 1972796019
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Mental Health Clinic/Center 261QM0850X
- License
- 7808 (SC)
- Legal business name
- LOWCOUNTRY PSYCHOTHERAPY ASSOCIATES, P.A.
- Practice address
- 105 Wappoo Creek Dr
Suite 2a
Charleston, SC 29412-2134 - Phone
- (843) 795-3585
- Fax
- (843) 795-9728
- NPI assigned
- Aug 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Douglas Fountain Crane, M.D.
- Title
- President
- Phone
- (843) 795-3585
Practitioners 1
-
Ethel Langston Crane, MSN,RN,CS
National Provider Directory
Locations
105 Wappoo Creek Dr
Ste 2A
Charleston, SC 29412
Phone (843) 795-3585
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 7808 | SC | Yes |
Addresses
Primary practice location
105 Wappoo Creek Dr
Suite 2a
Charleston, SC 29412-2134
Mailing address
105 Wappoo Creek Dr
Suite 2a
Charleston, SC 29412-2167
Phone (843) 795-3585
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 078089 | Medicaid | SC |
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All providers in Charleston, SC · Adult Mental Health Clinic/Center in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2007. 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.