Provider Demographics
NPI:1982941050
Name:HATCHER, KIRSTEN R (LMFT)
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:R
Last Name:HATCHER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1541 CYPRESS POINTE DR
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29466-8715
Mailing Address - Country:US
Mailing Address - Phone:843-901-2324
Mailing Address - Fax:
Practice Address - Street 1:1541 CYPRESS POINTE DR
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-8715
Practice Address - Country:US
Practice Address - Phone:843-901-2324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4547106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist