Provider Demographics
NPI:1740781202
Name:GARRICK, MARGARET S (MA, LPC, CACL)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:S
Last Name:GARRICK
Suffix:
Gender:F
Credentials:MA, LPC, CACL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 S LAKE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-3432
Mailing Address - Country:US
Mailing Address - Phone:803-756-3020
Mailing Address - Fax:803-756-3022
Practice Address - Street 1:719 S LAKE DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-3432
Practice Address - Country:US
Practice Address - Phone:803-756-3020
Practice Address - Fax:803-756-3022
Is Sole Proprietor?:No
Enumeration Date:2018-02-21
Last Update Date:2020-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6989101YP2500X
SC6480101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)