Provider Demographics
NPI:1285023218
Name:COLE, CATHY GAYLE (LPC)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:GAYLE
Last Name:COLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3839 JOHNSON ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-1374
Mailing Address - Country:US
Mailing Address - Phone:336-880-3324
Mailing Address - Fax:
Practice Address - Street 1:3839 JOHNSON ST UNIT B
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-1374
Practice Address - Country:US
Practice Address - Phone:336-880-3324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-14
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11044101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional