Healthcare Provider Details

I. General information

NPI: 1861389637
Provider Name (Legal Business Name): DANIEL KNAUER LPCA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1068 S LAKE DR
LEXINGTON SC
29073-3720
US

IV. Provider business mailing address

703 KINGSBRIDGE RD
COLUMBIA SC
29210-5011
US

V. Phone/Fax

Practice location:
  • Phone: 803-726-9400
  • Fax:
Mailing address:
  • Phone: 803-565-5324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: