Provider Demographics
NPI:1811929649
Name:DURANT, ELIZABETH M (LISWCP)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:M
Last Name:DURANT
Suffix:
Gender:F
Credentials:LISWCP
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:A
Other - Last Name:MCINTOSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISWCP
Mailing Address - Street 1:725 WREN ST
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150
Mailing Address - Country:US
Mailing Address - Phone:803-778-2195
Mailing Address - Fax:
Practice Address - Street 1:531 OXFORD ST
Practice Address - Street 2:SUITE A
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150
Practice Address - Country:US
Practice Address - Phone:803-774-4045
Practice Address - Fax:803-774-4060
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC15661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical