Provider Demographics
NPI:1275892507
Name:BURTON, CATHERINE WORD (MA, LPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:WORD
Last Name:BURTON
Suffix:
Gender:F
Credentials:MA, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 TERRACE LN
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-7594
Mailing Address - Country:US
Mailing Address - Phone:214-793-6306
Mailing Address - Fax:
Practice Address - Street 1:1500 CORPORATE CIR
Practice Address - Street 2:SUITES 10 -11
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-5953
Practice Address - Country:US
Practice Address - Phone:817-416-0738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-07
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14559 LPC101YP2500X
TX004959 LMFT106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist