Provider Demographics
NPI:1124013644
Name:SMEDLEY, KATHY G (LPC-S, LMFT, LSOTP,)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:G
Last Name:SMEDLEY
Suffix:
Gender:F
Credentials:LPC-S, LMFT, LSOTP,
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:LESLIE
Other - Last Name:SMEDLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, LMFT, ASOTP
Mailing Address - Street 1:8234 FARM ROAD 3019
Mailing Address - Street 2:
Mailing Address - City:WINNSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:75494-4731
Mailing Address - Country:US
Mailing Address - Phone:903-629-5505
Mailing Address - Fax:
Practice Address - Street 1:403 N POST OAK
Practice Address - Street 2:
Practice Address - City:WINNSBORO
Practice Address - State:TX
Practice Address - Zip Code:75494
Practice Address - Country:US
Practice Address - Phone:903-975-1575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9706101YP2500X
TX09706101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional