Provider Demographics
NPI:1427591601
Name:KATHY W. BONDS,LLC
Entity Type:Organization
Organization Name:KATHY W. BONDS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:W
Authorized Official - Last Name:BONDS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:334-467-7989
Mailing Address - Street 1:PO BOX 640635
Mailing Address - Street 2:
Mailing Address - City:PIKE ROAD
Mailing Address - State:AL
Mailing Address - Zip Code:36064-0635
Mailing Address - Country:US
Mailing Address - Phone:334-467-7989
Mailing Address - Fax:
Practice Address - Street 1:301 DALRAIDA RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36109-2835
Practice Address - Country:US
Practice Address - Phone:334-467-7989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-21
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1665101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty