Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cofa, LLC

Organization Clinical Psychologist · NPI 1639384761

Cofa, LLC is a Clinical Psychologist in Lake City, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

106 E Thomas St
Lake City, SC 29560-2639
Phone: (843) 229-8504
Fax: (843) 374-2632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 213469 (SC)
Clinical Psychologist Taxonomy 103TC0700X · Licence 55 (SC)

Record details

NPI number1639384761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelvin Williams — Executive Director · (843) 229-8504
NPI enumeratedMay 11, 2007
Last updated in NPPESJanuary 17, 2008
Mailing address106 East Thomas Street, Po Box 394, Lake City, SC 29560

Other providers in Lake City