Healthcare Provider Details

I. General information

NPI: 1013202753
Provider Name (Legal Business Name): ROBIN DALE CATOE LPC, CACI, NBCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2011
Last Update Date: 06/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 S MAIN ST
LANCASTER SC
29720-2442
US

IV. Provider business mailing address

114 S MAIN ST
LANCASTER SC
29720-2442
US

V. Phone/Fax

Practice location:
  • Phone: 803-285-6911
  • Fax: 803-286-6697
Mailing address:
  • Phone: 803-285-6911
  • Fax: 803-286-6697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number1105273
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4277
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4317
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: