Provider Demographics
NPI:1487467916
Name:TREMBLEY, ELIZABETH (MA, LPC)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:TREMBLEY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1630 MEETING STREET RD STE 206
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-9438
Mailing Address - Country:US
Mailing Address - Phone:404-323-1084
Mailing Address - Fax:
Practice Address - Street 1:1630 MEETING STREET RD STE 206
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-9438
Practice Address - Country:US
Practice Address - Phone:404-323-1084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8294101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health