Provider Demographics
NPI:1235774845
Name:CREED, ELIZABETH (EDS, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:CREED
Suffix:
Gender:F
Credentials:EDS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1443 HIGHWAY 1 S STE B
Mailing Address - Street 2:
Mailing Address - City:LUGOFF
Mailing Address - State:SC
Mailing Address - Zip Code:29078-9460
Mailing Address - Country:US
Mailing Address - Phone:803-708-0902
Mailing Address - Fax:
Practice Address - Street 1:1443 HIGHWAY 1 S STE B
Practice Address - Street 2:
Practice Address - City:LUGOFF
Practice Address - State:SC
Practice Address - Zip Code:29078-9460
Practice Address - Country:US
Practice Address - Phone:803-708-0902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-07
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7319101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC7913OtherLPC