Provider Demographics
NPI:1093279853
Name:REUSING, KATHERINE ANNE (LMFT, LPC)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:ANNE
Last Name:REUSING
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 HOMESTEAD RD
Mailing Address - Street 2:
Mailing Address - City:HARTWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30643-4805
Mailing Address - Country:US
Mailing Address - Phone:706-371-2085
Mailing Address - Fax:706-377-2393
Practice Address - Street 1:24 HOMESTEAD RD
Practice Address - Street 2:
Practice Address - City:HARTWELL
Practice Address - State:GA
Practice Address - Zip Code:30643-4805
Practice Address - Country:US
Practice Address - Phone:706-371-2085
Practice Address - Fax:706-371-2393
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-25
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1175101Y00000X
GAMFT001363106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAMFT001363Medicaid