Provider Demographics
NPI:1619343464
Name:YOUNG, ELIZABETH MURRAY AUSTIN (LPC, MA)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH MURRAY
Middle Name:AUSTIN
Last Name:YOUNG
Suffix:
Gender:F
Credentials:LPC, MA
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:MURRAY
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:860 LOWCOUNTRY BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3091
Mailing Address - Country:US
Mailing Address - Phone:843-329-9663
Mailing Address - Fax:
Practice Address - Street 1:860 LOWCOUNTRY BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3091
Practice Address - Country:US
Practice Address - Phone:843-329-9663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5704101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional