Provider Demographics
NPI:1174816532
Name:MC CATTY, LILLIE ANN (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:LILLIE
Middle Name:ANN
Last Name:MC CATTY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MISS
Other - First Name:LILLIE
Other - Middle Name:ANN
Other - Last Name:VAN LEISHOUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 12962
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98508-2962
Mailing Address - Country:US
Mailing Address - Phone:360-259-7179
Mailing Address - Fax:
Practice Address - Street 1:1700 COOPER POINT RD SW
Practice Address - Street 2:BUILDING C-4
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-1104
Practice Address - Country:US
Practice Address - Phone:360-259-7179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor