Provider Demographics
NPI:1225687544
Name:LILLIE MCCATTY, LMHC
Entity Type:Organization
Organization Name:LILLIE MCCATTY, LMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LILLIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCCATTY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:360-259-7179
Mailing Address - Street 1:203 4TH AVE E STE 307
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-1188
Mailing Address - Country:US
Mailing Address - Phone:360-259-7179
Mailing Address - Fax:360-878-8953
Practice Address - Street 1:203 4TH AVE E STE 307
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-1188
Practice Address - Country:US
Practice Address - Phone:360-259-7179
Practice Address - Fax:360-878-8953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health