Provider Demographics
NPI:1396419701
Name:KATHY JAMES PSYCHOTHERAPY AND WELLNESS, PLLC
Entity Type:Organization
Organization Name:KATHY JAMES PSYCHOTHERAPY AND WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:ELISE
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:501-551-6553
Mailing Address - Street 1:106 BRONTE CIR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-9027
Mailing Address - Country:US
Mailing Address - Phone:501-551-6553
Mailing Address - Fax:
Practice Address - Street 1:900 S SHACKLEFORD ROAD #300
Practice Address - Street 2:3RD FLOOR, SUITE 15
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211
Practice Address - Country:US
Practice Address - Phone:501-551-6553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty