Provider Demographics
NPI:1629801204
Name:KNECHT, ZACHARY ALEXANDER
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:ALEXANDER
Last Name:KNECHT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1803 MOORE RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:SC
Mailing Address - Zip Code:29745-8554
Mailing Address - Country:US
Mailing Address - Phone:803-610-9990
Mailing Address - Fax:
Practice Address - Street 1:1803 MOORE RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:SC
Practice Address - Zip Code:29745-8554
Practice Address - Country:US
Practice Address - Phone:803-610-9990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health