MRS. LIZBETH LOGAN GRAFFEO (NPI# 1558816595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558816595 |
Entity Type | Individual |
Full Name | MRS. LIZBETH LOGAN GRAFFEO |
Credential | LPC |
Practice Address |
101 N Pine St Ste 210 Spartanburg SC 29302 |
Mailing Address |
101 N Pine St Ste 210 Spartanburg SC 29302-1604 |
Practice Telephone | 8642103115 |
Mailing Telephone | 8642103115 |
Enumeration Date | 2016-08-19 |
Last Update Date | 2018-11-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 6738 | SC | Behavioral Health & Social Service Providers |
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | PC1889 | 05 | |
SC | 301100 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
101 N Pine St Ste 210, Spartanburg, SC 29302 | 8642103115 |
Street Address |
101 N PINE ST STE 210 |
City | SPARTANBURG |
State | SC |
Zip Code | 29302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
1700353240 | Health Core Direct | Clinic/Center | 101 N Pine St Ste 210, Spartanburg, SC 29302-1604 | 2018-11-01 |
1588144380 | Amy C Taylor | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302-1604 | 2018-08-21 |
1295235067 | Shynekia Janel Garner | Marriage & Family Therapist | 101 N Pine St Ste 210, Spartanburg, SC 29302-1604 | 2018-02-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
1306973672 | Julian Williams | Internal Medicine | 319 N Pine St, Spartanburg, SC 29302 | 2007-02-27 |
Find all providers in zip 29302 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114464435 | John Smith Jr. | Counselor | 390 E Boundary Dr, Spartanburg, SC 29303-3926 | 2017-01-24 |
1952845356 | Brittany Stilwell | Counselor | 323 Sunridge Dr, Spartanburg, SC 29302-4671 | 2016-12-05 |
1134527849 | Zephaniah Services Pllc | Counselor | 7092 Howard St, Suite J, Spartanburg, SC 29303-1403 | 2014-12-11 |
1124421839 | Judith Lynn Jankowski | Counselor | 243 E Blackstock Rd Ste 3, Spartanburg, SC 29301-2653 | 2014-10-08 |
1487943023 | Margaret Elizabeth Wilson | Counselor | 100 Ezell St., Spartanburg, SC 29301 | 2011-04-05 |
1750618658 | Angelia Carter | Counselor | 1565 Skylyn Dr, Spartanburg, SC 29307-1034 | 2009-11-13 |
1225227101 | Melissa Dawn Holloman | Counselor | 279 N Grove Medical Park Drive, Spartanburg, SC 29303 | 2007-10-17 |
1518153675 | Carla J Turner | Counselor | 110 S Dean St, Spartanburg, SC 29302-1971 | 2007-09-21 |
1356543045 | Cheryl B Haman | Counselor | 200 Ezell Street, Spartanburg, SC 29306 | 2007-06-04 |
1023041043 | Renaissance Therapy & Forensic Counseling Center | Counselor | 200 Ezell St, Spartanburg, SC 29306 | 2006-07-10 |
Find all providers in SPARTANBURG |
City | SPARTANBURG |
Zip Code | 29302 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.