Provider Demographics
NPI:1033657465
Name:KATHERINE THERRELL, LPC, PLLC
Entity Type:Organization
Organization Name:KATHERINE THERRELL, LPC, PLLC
Other - Org Name:KATHERINE THERRELL HOME CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:THERRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-551-6262
Mailing Address - Street 1:10 EAGLES ROOST LN
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-7571
Mailing Address - Country:US
Mailing Address - Phone:828-551-6262
Mailing Address - Fax:
Practice Address - Street 1:10 EAGLES ROOST LN
Practice Address - Street 2:
Practice Address - City:FLETCHER
Practice Address - State:NC
Practice Address - Zip Code:28732-7571
Practice Address - Country:US
Practice Address - Phone:828-551-6262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health