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Provider Information for 1114295839


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Ms. GERALDINE E PAZI Therapist


Other Names:  
Other Name: 
Ms. GERALDINE E PAZI LPC

Sex: Female

NPI: 1114295839
Last Updated: 2025-03-25
Certification Date: 2025-03-25

Details

NameValue
NPI1114295839
Enumeration Date2011-12-08
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 106 SPRINGVIEW LN
SUMMERVILLE, SC 29485-8108
United States

Phone: 843-873-5063 | Fax:843-851-2110
 
Primary Practice Address 106 SPRINGVIEW LN
SUMMERVILLE, SC 29485-8108
United States

Phone: 843-873-5063 | Fax:843-851-2110
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDSC435201
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalSC6798