Provider Demographics
NPI:1689089351
Name:FRIDDLE, CHRISTA MCCAIN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTA
Middle Name:MCCAIN
Last Name:FRIDDLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 SWEETBRIAR RD STE 6A
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-1459
Mailing Address - Country:US
Mailing Address - Phone:864-631-9191
Mailing Address - Fax:864-551-2855
Practice Address - Street 1:25 SWEETBRIAR RD STE 6A
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-1459
Practice Address - Country:US
Practice Address - Phone:864-631-9191
Practice Address - Fax:864-551-2855
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-21
Last Update Date:2021-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5435101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPC1393Medicaid