Provider Demographics
NPI:1205386943
Name:THOMASY, KATHERINE BELL (MA, LPC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:BELL
Last Name:THOMASY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:BELL THOMASY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:1800 BLACK WILLOW TRL
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:75409-4523
Mailing Address - Country:US
Mailing Address - Phone:972-441-7374
Mailing Address - Fax:
Practice Address - Street 1:15048 US HIGHWAY 75 STE 5
Practice Address - Street 2:
Practice Address - City:VAN ALSTYNE
Practice Address - State:TX
Practice Address - Zip Code:75495-3226
Practice Address - Country:US
Practice Address - Phone:972-441-7374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-05
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71390101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor