Provider Demographics
NPI:1033999594
Name:SEAVER, CATHERINE GRACE (MS, NCC, APC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:GRACE
Last Name:SEAVER
Suffix:
Gender:F
Credentials:MS, NCC, APC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1074 CREST CIR SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-2100
Mailing Address - Country:US
Mailing Address - Phone:770-510-3046
Mailing Address - Fax:
Practice Address - Street 1:1148 CONCORD RD SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-4263
Practice Address - Country:US
Practice Address - Phone:770-410-8376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC009290101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health