Provider Demographics
NPI:1407993728
Name:WILSON, BETH CHERISH (LPC)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:CHERISH
Last Name:WILSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:CHERISH
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:508 BETHEL ST
Mailing Address - Street 2:
Mailing Address - City:CLOVER
Mailing Address - State:SC
Mailing Address - Zip Code:29710-1154
Mailing Address - Country:US
Mailing Address - Phone:803-675-8227
Mailing Address - Fax:866-884-5371
Practice Address - Street 1:508 BETHEL ST
Practice Address - Street 2:
Practice Address - City:CLOVER
Practice Address - State:SC
Practice Address - Zip Code:29710-1154
Practice Address - Country:US
Practice Address - Phone:036-758-2278
Practice Address - Fax:866-884-5371
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health