Individual provider · Type 1 NPI

Ellalee F. Gravely, LPC, NCC

Professional Counselor · Myrtle Beach, SC

NPI number 1396812079 Active

Practice location

901 N Kings Hwy
Myrtle Beach, SC 29577-3722

Fax (843) 448-9875

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2256 (SC)

Professional Counselor: Definition to come...

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About NPI 1396812079

Ellalee F. Gravely, LPC, NCC's National Provider Identifier is 1396812079, issued on Nov 29, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jul 8, 2007.