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NPI Code Detail

MEDICARE: ELIZABETH BRIANNA DRAKE LPCA

MEDICARE: ELIZABETH BRIANNA DRAKE LPCA
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
1101YM0800XMental Health Counselor8269SC

General Provider Information

NPI Number : 1306527510
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH BRIANNA DRAKE LPCA
Provider Business Mailing Address
First Line : 209 TEA OLIVE AVE
Second Line :
City : LEXINGTON
State : SC
Zip : 29073-6935
Country : US
Telephone Number : 706-936-6311
Fax Number :
Provider Business Practice Location Address
First Line : 801 GERVAIS ST STE 2B
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-3125
Country : US
Telephone Number : 706-936-6311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2023
Last Update Date : 07/31/2023

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Directions to “ ELIZABETH BRIANNA DRAKE LPCA” Practice Location

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