DR. RENEE ANNE LAKE PH.D.
NPI 1629643283
Psychologist - School in Mount Pleasant, SC

Active since May 25, 2021
3003 DUNES WEST BLVD STE 3, MOUNT PLEASANT, SC 29466(843) 352-4060 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Renee Anne Lake Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RENEE ANNE LAKE PH.D. (NPI 1629643283) is an individual school provider in Mount Pleasant, South Carolina, licensed in South Carolina (4708) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1629643283
Entity TypeIndividualFemale
Primary Taxonomy103TS0200X
Provider Legal NameDR. RENEE ANNE LAKECredential: PH.D.
Location Address3003 DUNES WEST BLVD STE 3Mount Pleasant, SC 29466-8001
Mailing Address2655 Park West BlvdMount Pleasant, SC 29466-7246 · (315) 521-3166
Sole ProprietorYes
Enumeration DateMay 25, 2021
NPPES CertifiedMay 25, 2021
NPI 1629643283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
License Licensed in SC · 4708
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
3003 DUNES WEST BLVD STE 3, Mount Pleasant, SC 29466

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renee Lake's NPI number?

The NPI number for Renee Lake is 1629643283. It was assigned to this individual provider in the NPPES registry on May 25, 2021.

Where is Renee Lake located?

Renee Lake practices at 3003 Dunes West Blvd Ste 3, Mount Pleasant, SC 29466. The listed phone number is (843) 352-4060.

What is Renee Lake's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

When was this NPI record last updated?

The NPPES record for Renee Lake was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.