Provider Demographics
NPI:1043573520
Name:MORTON, KATHLEEN M (LPC)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:M
Last Name:MORTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:MARIE
Other - Last Name:GILLILAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:4425 S. MO PAC EXPY
Mailing Address - Street 2:SUITE 502
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735
Mailing Address - Country:US
Mailing Address - Phone:512-270-1513
Mailing Address - Fax:727-800-2333
Practice Address - Street 1:4425 S MO PAC EXPY STE 502
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-6725
Practice Address - Country:US
Practice Address - Phone:512-270-1513
Practice Address - Fax:727-800-2333
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2017-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health