Provider Demographics
NPI:1639242233
Name:ANDREWS, ELAINE M (MA LPCS NCC)
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:M
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MA LPCS NCC
Other - Prefix:MS
Other - First Name:ELAINE
Other - Middle Name:M
Other - Last Name:ANDREWS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA LPCS NCC
Mailing Address - Street 1:104 RED CYPRESS DRIVE
Mailing Address - Street 2:
Mailing Address - City:GOOSE CREEK
Mailing Address - State:SC
Mailing Address - Zip Code:29445-4013
Mailing Address - Country:US
Mailing Address - Phone:843-824-5561
Mailing Address - Fax:843-824-5561
Practice Address - Street 1:104 RED CYPRESS DRIVE
Practice Address - Street 2:
Practice Address - City:GOOSE CREEK
Practice Address - State:SC
Practice Address - Zip Code:29445-4013
Practice Address - Country:US
Practice Address - Phone:843-824-5561
Practice Address - Fax:843-824-5561
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3272101YM0800X, 101YP2500X
PAPC000996101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional