ELIZABETH WAGGONER M.A.
NPI 1063804706
Counselor - Professional in Mountain Rest, SC

Active since March 03, 2015
186 BRIANS LAKE RD, MOUNTAIN REST, SC 29664(864) 638-6005 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elizabeth Waggoner M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH WAGGONER M.A. (NPI 1063804706) is an individual professional provider in Mountain Rest, South Carolina, licensed in South Carolina (6074) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1063804706
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameELIZABETH WAGGONERCredential: M.A.
Location Address186 BRIANS LAKE RDMountain Rest, SC 29664-9111
Mailing Address186 Brians Lake Rd, P. O. Box 87Mountain Rest, SC 29664-9111 · (864) 638-6005
Sole ProprietorNo
Enumeration DateMarch 3, 2015
NPI 1063804706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in SC · 6074
186 BRIANS LAKE RD, Mountain Rest, SC 29664

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
186 BRIANS LAKE RD
MOUNTAIN REST, SC 29664
Counselor (Mental Health)
186 BRIANS LAKE RD
MOUNTAIN REST, SC 29664
Counselor (Professional)
186 BRIANS LAKE RD
MOUNTAIN REST, SC 29664
Social Worker
186 BRIANS LAKE RD
MOUNTAIN REST, SC 29664
Counselor
186 BRIANS LAKE RD
MOUNTAIN REST, SC 29664

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Waggoner's NPI number?

The NPI number for Elizabeth Waggoner is 1063804706. It was assigned to this individual provider in the NPPES registry on March 3, 2015.

Where is Elizabeth Waggoner located?

Elizabeth Waggoner practices at 186 Brians Lake Rd, Mountain Rest, SC 29664. The listed phone number is (864) 638-6005.

What is Elizabeth Waggoner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Elizabeth Waggoner was last updated on March 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.