Provider Demographics
NPI:1235486457
Name:GIRALDO, ALBA L (LPC LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ALBA
Middle Name:L
Last Name:GIRALDO
Suffix:
Gender:F
Credentials:LPC LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:564 ALLENTON WAY
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-7005
Mailing Address - Country:US
Mailing Address - Phone:574-320-4520
Mailing Address - Fax:
Practice Address - Street 1:564 ALLENTON WAY
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-7005
Practice Address - Country:US
Practice Address - Phone:574-320-4520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-07
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39003236A101YM0800X
SC7026101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health