Healthcare Provider Details

I. General information

NPI: 1134793466
Provider Name (Legal Business Name): CANDACE D CATHCART LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CANDACE D CATHCART LMFT

II. Dates (important events)

Enumeration Date: 05/20/2021
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 THOMAS ST
UNION SC
29379-2147
US

IV. Provider business mailing address

PO BOX 5158
SPARTANBURG SC
29304-5158
US

V. Phone/Fax

Practice location:
  • Phone: 864-381-7803
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number7050
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: