Healthcare Provider Details

I. General information

NPI: 1346183647
Provider Name (Legal Business Name): LIZETTE OLGA CHARPING LPES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

309 KWANZAN DR
LEXINGTON SC
29072-7237
US

IV. Provider business mailing address

309 KWANZAN DR
LEXINGTON SC
29072-7237
US

V. Phone/Fax

Practice location:
  • Phone: 803-466-3226
  • Fax:
Mailing address:
  • Phone: 803-466-3226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number268481
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: