Individual
DR ELIZABETH ELIZA CASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BBA,MED,PCS
Contact information
Practice address
1527 SAM RITTENBERG BLVD STE 202, CHARLESTON, SC 29407-4189
(404) 935-8722
Mailing address
1643 B SAVANNAH HIGHWAY STE 351, CHARLESTON, SC 29407
(404) 935-8722
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
081515-1
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081515-1
PARACLETOS COUNSELING SPECIALIST
GA
Enumeration date
08/10/2015
Last updated
08/10/2015
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