Provider Demographics
NPI:1003295437
Name:K D CATHEY
Entity Type:Organization
Organization Name:K D CATHEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:D
Authorized Official - Last Name:CATHEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MDIV, LPC-S
Authorized Official - Phone:662-202-2160
Mailing Address - Street 1:1527 HAWTHORNE PL
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MS
Mailing Address - Zip Code:39056-3910
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:361 TOWNE CENTER PL
Practice Address - Street 2:#1300
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-4869
Practice Address - Country:US
Practice Address - Phone:601-977-9353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1361251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health