Healthcare Provider Details

I. General information

NPI: 1932967106
Provider Name (Legal Business Name): KATHERINE ELIZABETH PUESCHEL ED.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2024
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 PALMETTO PARK BLVD STE D
LEXINGTON SC
29072-7969
US

IV. Provider business mailing address

301 PALMETTO PARK BLVD
LEXINGTON SC
29072-7872
US

V. Phone/Fax

Practice location:
  • Phone: 803-996-1500
  • Fax: 803-808-5392
Mailing address:
  • Phone: 803-996-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: