Provider Demographics
NPI:1235989955
Name:KATY MCLEAN LMFT INC
Entity Type:Organization
Organization Name:KATY MCLEAN LMFT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:401-585-6363
Mailing Address - Street 1:116 MAIN ST STE 4
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-3566
Mailing Address - Country:US
Mailing Address - Phone:401-315-8802
Mailing Address - Fax:
Practice Address - Street 1:116 MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-3566
Practice Address - Country:US
Practice Address - Phone:401-315-8802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty