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NPI Code Detail

MEDICARE: MRS. MARIAN POLLOCK MERIWETHER EDS, MA, LPC

MEDICARE:  MRS. MARIAN POLLOCK MERIWETHER  EDS, MA, LPC
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
1101Y00000XCounselor4612SC
2101YP2500XProfessional Counselor7581SC
3101YP2500XProfessional Counselor4612SC

General Provider Information

NPI Number : 1427110139
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIAN POLLOCK MERIWETHER EDS, MA, LPC
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 : 3555 HARDEN STREET EXT STE 141
Second Line :
City : COLUMBIA
State : SC
Zip : 29203-6894
Country : US
Telephone Number : 803-434-4300
Fax Number : 803-434-4351
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2006
Last Update Date : 11/21/2023

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Directions to “ MRS. MARIAN POLLOCK MERIWETHER EDS, MA, LPC” Practice Location

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