Provider Demographics
NPI:1376637355
Name:COLLINS, CATHERINE YOST (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:YOST
Last Name:COLLINS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 ADLEY WAY
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-6511
Mailing Address - Country:US
Mailing Address - Phone:864-406-6041
Mailing Address - Fax:864-406-6042
Practice Address - Street 1:2406 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-3267
Practice Address - Country:US
Practice Address - Phone:864-406-6041
Practice Address - Fax:864-406-6040
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2276101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC2276OtherSCALLR
SC301100Medicaid
SC2276OtherSCALLR