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Contact Information

SUSAN K CRISP, LPC
4303 LIVE OAK DR
LITTLE RIVER, SC29566-9138
 Phone: 843-663-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Contractor

171W00000X
 

Mental Health

101YM0800X
 

Recreation Therapist

225800000X
Indicates primary specialty

NPI Profile & details for SUSAN K CRISP · (Female)

NPI # 1518247394
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 08/24/2011
Last updated 01/07/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 43287
  • SC License # 7799
  • VA License # 0701008164
  • SC Medicaid PC2522
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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