Healthcare Provider Details

I. General information

NPI: 1952524647
Provider Name (Legal Business Name): BILLIE KERR STROUD LPCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 05/08/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130A WHITEFORD WAY
LEXINGTON SC
29072-7617
US

IV. Provider business mailing address

130A WHITEFORD WAY
LEXINGTON SC
29072-7617
US

V. Phone/Fax

Practice location:
  • Phone: 803-808-1800
  • Fax: 803-808-1164
Mailing address:
  • Phone: 803-808-1800
  • Fax: 803-808-1164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number5194
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number4735
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: