Provider Demographics
NPI:1285924993
Name:KNAPP, SANDRA (LPC, LPCS)
Entity type:Individual
Prefix:MISS
First Name:SANDRA
Middle Name:
Last Name:KNAPP
Suffix:
Gender:F
Credentials:LPC, LPCS
Other - Prefix:MRS
Other - First Name:SANDRA
Other - Middle Name:K
Other - Last Name:KAZLAUSKAITE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, LPCS
Mailing Address - Street 1:11 PALMETTO PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-3733
Mailing Address - Country:US
Mailing Address - Phone:843-405-0619
Mailing Address - Fax:
Practice Address - Street 1:11 PALMETTO PKWY STE 103
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-3733
Practice Address - Country:US
Practice Address - Phone:843-405-0619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-14
Last Update Date:2023-01-06
Deactivation Date:2017-03-28
Deactivation Code:
Reactivation Date:2019-04-17
Provider Licenses
StateLicense IDTaxonomies
SC6564101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty