Organization
ELIZABETH CORBETT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELIZABETH ANN CORBETT LCSW (OWNER)
(803) 361-7940
Entity
Organization
Contact information
Practice address
1612 MARION ST, SUITE 311, COLUMBIA, SC 29201-2939
(803) 361-7940
(803) 695-4935
Mailing address
105 LAZY ACRES DR, COLUMBIA, SC 29209-4255
(803) 361-7940
(803) 695-4934
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4991
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1153
—
SC
Enumeration date
10/27/2014
Last updated
10/27/2014
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