Provider Demographics
NPI:1164898763
Name:PROCHASKA, KATE
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:PROCHASKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:ELAINE
Other - Last Name:BUECHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:415 RUTHERFORD ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-5311
Mailing Address - Country:US
Mailing Address - Phone:864-315-7205
Mailing Address - Fax:
Practice Address - Street 1:415 RUTHERFORD ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-5311
Practice Address - Country:US
Practice Address - Phone:864-315-7205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker