Provider Demographics
NPI:1093429599
Name:GALYEN, KATARINA LINDSAY (LCSWA)
Entity Type:Individual
Prefix:
First Name:KATARINA
Middle Name:LINDSAY
Last Name:GALYEN
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:KATARINA
Other - Middle Name:LINDSAY
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSWA
Mailing Address - Street 1:351 WAGONER DR STE 175
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-4860
Mailing Address - Country:US
Mailing Address - Phone:919-790-8580
Mailing Address - Fax:
Practice Address - Street 1:902 S REILLY RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-1825
Practice Address - Country:US
Practice Address - Phone:104-916-3569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-09
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0176221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical