Provider Demographics
NPI:1225766686
Name:DEWITT, KATHERINE H (LPC, LPCS)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:H
Last Name:DEWITT
Suffix:
Gender:F
Credentials:LPC, LPCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 AUTUMN GLEN RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7725
Mailing Address - Country:US
Mailing Address - Phone:903-363-2884
Mailing Address - Fax:
Practice Address - Street 1:509 AUTUMN GLEN RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-7725
Practice Address - Country:US
Practice Address - Phone:903-363-2884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-12
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9726101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty