MRS. ELIZABETH DASHIELL WALLACE RN, LPC
NPI 1376783118
Counselor - Professional in Spartanburg, SC
Active since March 05, 2009
About Mrs. Elizabeth Dashiell Wallace Rn, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ELIZABETH DASHIELL WALLACE RN, LPC (NPI 1376783118) is an individual professional provider in Spartanburg, South Carolina, licensed in South Carolina (4656) and active in the NPI registry since March 2009.
NPPES Registry Identity
NPI1376783118
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. ELIZABETH DASHIELL WALLACECredential: RN, LPC
Location Address429 N CHURCH STSpartanburg, SC 29303-3612
Mailing Address360 E Killarney LkMoore, SC 29369-9489 · (864) 804-8381 · Fax (864) 804-8381
Phone(864) 597-4371
Fax(864) 597-4379
Sole ProprietorYes
Enumeration DateMarch 5, 2009
✔ NPI 1376783118 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 · 4656
429 N CHURCH ST, Spartanburg, SC 29303
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Specialist/Technologist (Athletic Trainer)
429 N CHURCH ST
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
Specialist/Technologist (Athletic Trainer)
429 N CHURCH ST
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
Specialist/Technologist (Athletic Trainer)
429 N CHURCH ST
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
Specialist/Technologist (Athletic Trainer)
429 N CHURCH ST
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
Specialist/Technologist (Athletic Trainer)
429 N CHURCH ST
SPARTANBURG, SC 29303
SPARTANBURG, SC 29303
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376783118, enumerated as an "individual" on March 05, 2009.
The provider is located at 429 N CHURCH ST SPARTANBURG, SC 29303 and the phone number is (864) 597-4371.
Counselor with taxonomy code 101YP2500X and a focus in Professional.