Healthcare Provider Details

I. General information

NPI: 1720749401
Provider Name (Legal Business Name): KATHRYN HALL-SHEPARD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATE HALL-SHEPARD

II. Dates (important events)

Enumeration Date: 01/05/2022
Last Update Date: 03/07/2026
Certification Date: 03/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1477 EBENEZER RD
ROCK HILL SC
29732-2338
US

IV. Provider business mailing address

1477 EBENEZER RD
ROCK HILL SC
29732-2338
US

V. Phone/Fax

Practice location:
  • Phone: 803-526-3247
  • Fax:
Mailing address:
  • Phone: 803-526-3247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: