Provider Demographics
NPI:1114295839
Name:PAZI, GERALDINE E (THERAPIST)
Entity type:Individual
Prefix:MS
First Name:GERALDINE
Middle Name:E
Last Name:PAZI
Suffix:
Gender:
Credentials:THERAPIST
Other - Prefix:MS
Other - First Name:GERALDINE
Other - Middle Name:E
Other - Last Name:PAZI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:106 SPRINGVIEW LN
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-8108
Mailing Address - Country:US
Mailing Address - Phone:843-873-5063
Mailing Address - Fax:843-851-2110
Practice Address - Street 1:106 SPRINGVIEW LN
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-8108
Practice Address - Country:US
Practice Address - Phone:843-873-5063
Practice Address - Fax:843-851-2110
Is Sole Proprietor?:No
Enumeration Date:2011-12-08
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6798101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC435201Medicaid