Provider Demographics
NPI:1760373492
Name:LEE, CARSON ELIZABETH (LPC-A)
Entity type:Individual
Prefix:
First Name:CARSON
Middle Name:ELIZABETH
Last Name:LEE
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2377 CHADWICK DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-6424
Mailing Address - Country:US
Mailing Address - Phone:843-758-2736
Mailing Address - Fax:
Practice Address - Street 1:201 DOZIER BLVD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4026
Practice Address - Country:US
Practice Address - Phone:843-970-0285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCCOU.10400101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health