Provider Demographics
NPI:1922468339
Name:DUNCAN, MARTHA HINES (MED, LPC, LPC-S)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:HINES
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:MED, LPC, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 OAK HOLW
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:SC
Mailing Address - Zip Code:29670-9302
Mailing Address - Country:US
Mailing Address - Phone:864-556-9771
Mailing Address - Fax:
Practice Address - Street 1:125 MUDDY TOES DR
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29626-5349
Practice Address - Country:US
Practice Address - Phone:864-353-3384
Practice Address - Fax:864-222-9715
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-26
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4642101YP2500X
SC5497101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional