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NPI Code Detail

MEDICARE: ELIZABETH SMEAD DUKES LPC, ATR-BC

MEDICARE: ELIZABETH SMEAD DUKES LPC, ATR-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor5266SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205995727
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH SMEAD DUKES LPC, ATR-BC
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-522-8603
Fax Number :
Provider Business Practice Location Address
First Line : 10 PATEWOOD DR STE 130
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-6317
Country : US
Telephone Number : 864-455-8988
Fax Number : 864-522-5555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 05/25/2021

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Directions to “ ELIZABETH SMEAD DUKES LPC, ATR-BC” Practice Location

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