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

Lake Psychological Services, LLC

Organization Clinical Psychologist · NPI 1578986923

Lake Psychological Services, LLC is a Clinical Psychologist in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2014.

Licensed in
SC
In the registry since
2014
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

115 Atrium Way Ste 221
Columbia, SC 29223-6383
Phone: (803) 699-8887
Fax: (803) 699-8824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 690 (SC)

Record details

NPI number1578986923
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Lake — Owner · (803) 699-8887
NPI enumeratedJanuary 21, 2014
Last updated in NPPESJanuary 23, 2014
Mailing addressPo Box 707, Blythewood, SC 29016-0707

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