Provider Demographics
NPI:1417409780
Name:PRESLEY, CATHERINE A (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:A
Last Name:PRESLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8106 MELROSE ST E
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76108-2414
Mailing Address - Country:US
Mailing Address - Phone:817-932-4745
Mailing Address - Fax:
Practice Address - Street 1:8106 MELROSE ST E
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76108-2414
Practice Address - Country:US
Practice Address - Phone:817-932-4745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37630101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor