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

Kaitlin Wallick, LPC

Individual provider Behavior Technician · NPI 1962071092

Kaitlin Wallick, LPC is a Behavior Technician in Charleston, South Carolina. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2021
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

222 Port Tack Dr
Charleston, SC 29492-8933
Phone: (215) 932-4887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1081 Oak St Unit 3, Pittston, PA 18640-3716 — (888) 726-4774

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence PC015886 (PA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1962071092
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedJune 22, 2021
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023

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