Provider Demographics
NPI:1144000639
Name:GUADIANO ELLIOTT, MARGARET KRISTIN (DBH, MA)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:KRISTIN
Last Name:GUADIANO ELLIOTT
Suffix:
Gender:F
Credentials:DBH, MA
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:KRISTIN
Other - Last Name:GUADIANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:448 LAKESHORE PKWY STE 110
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-4264
Mailing Address - Country:US
Mailing Address - Phone:803-329-3177
Mailing Address - Fax:
Practice Address - Street 1:448 LAKESHORE PKWY STE 110
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-4264
Practice Address - Country:US
Practice Address - Phone:803-328-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health