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NPI Code Detail

MEDICARE: MRS. PRISCILLA CREIGHTON WILSON LISW-CP, NCACII, CAC

MEDICARE:  MRS. PRISCILLA CREIGHTON WILSON  LISW-CP, NCACII, CAC
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 Counselor6442SC
2101YA0400XAddiction (Substance Use Disorder) Counselor015054SC
3104100000XSocial Worker6442SC
4101YA0400XAddiction (Substance Use Disorder) Counselor10100824SC

General Provider Information

NPI Number : 1801157177
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PRISCILLA CREIGHTON WILSON LISW-CP, NCACII, CAC
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 : 864-695-6697
Fax Number :
Provider Business Practice Location Address
First Line : 725 GROVE RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-9998
Country : US
Telephone Number : 864-455-6968
Fax Number : 864-455-8981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2012
Last Update Date : 11/13/2025

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Directions to “ MRS. PRISCILLA CREIGHTON WILSON LISW-CP, NCACII, CAC” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.