Provider Demographics
NPI:1093092801
Name:SAYLES, CATHERINE ELYSE (LISW-CP)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ELYSE
Last Name:SAYLES
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 POINT DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-9602
Mailing Address - Country:US
Mailing Address - Phone:803-466-9571
Mailing Address - Fax:
Practice Address - Street 1:105 POINT DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-9602
Practice Address - Country:US
Practice Address - Phone:803-466-9571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC154481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical