Provider Demographics
NPI:1083758387
Name:BURKE, WILLIAM H (LPC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:H
Last Name:BURKE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 N CEDAR ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-6453
Mailing Address - Country:US
Mailing Address - Phone:843-821-2480
Mailing Address - Fax:843-875-3149
Practice Address - Street 1:204 N CEDAR ST STE 100
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-6453
Practice Address - Country:US
Practice Address - Phone:843-821-2480
Practice Address - Fax:843-875-3149
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC463101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor