Provider Demographics
NPI:1457234445
Name:HALSTENSGARD, KATHERINE M (LMFT-A)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:M
Last Name:HALSTENSGARD
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:E
Other - Last Name:MANLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:613 BATCHOMBLE LN
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-6179
Mailing Address - Country:US
Mailing Address - Phone:803-517-7085
Mailing Address - Fax:
Practice Address - Street 1:5 INDEPENDENCE PT STE 120
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4538
Practice Address - Country:US
Practice Address - Phone:864-323-9002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10258106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist