Provider Demographics
NPI:1124895826
Name:LIZ ROBINSON WELLNESS & CONSULTATION
Entity type:Organization
Organization Name:LIZ ROBINSON WELLNESS & CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-612-6442
Mailing Address - Street 1:171 MOULTRIE STREET
Mailing Address - Street 2:MSC 82
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29409
Mailing Address - Country:US
Mailing Address - Phone:843-612-6442
Mailing Address - Fax:843-927-8170
Practice Address - Street 1:516 WILSON AVENUE
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29409-0001
Practice Address - Country:US
Practice Address - Phone:843-612-6442
Practice Address - Fax:843-972-8170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty