Crisp, Susan Kaye
Crisp, Susan Kaye is an individual health care provider with primary practice located at 4303 Live Oak Dr , Little River SC 29566-9138. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Contractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Crisp, Susan Kaye can be contacted via phone (843) 663-8000.Contact Information
Primary practice address
4303 Live Oak Dr
Little River SC 29566-9138
Phone: (843) 663-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 7799 | South Carolina |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701008164 | Virginia |
| Other Service Providers / Contractor | 171W00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist | 225800000X | 43287 | North Carolina |
Profile Details
| NPI number | 1518247394 |
|---|---|
| LBN Legal business name | Crisp, Susan Kaye |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2011 |
| Last updated | Jan 7th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518247394 | NPPES |
| South Carolina | MEDICAID | PC2522 |
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