Provider Demographics
NPI:1437266061
Name:CLEVELAND, KATHIE NORFLEET (MA LPC LMFT)
Entity Type:Individual
Prefix:
First Name:KATHIE
Middle Name:NORFLEET
Last Name:CLEVELAND
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 1:2732 ROLLING OAKS
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666
Mailing Address - Country:US
Mailing Address - Phone:512-353-3103
Mailing Address - Fax:512-396-8530
Practice Address - Street 1:829 N LBJ
Practice Address - Street 2:#207
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666
Practice Address - Country:US
Practice Address - Phone:512-353-3103
Practice Address - Fax:512-396-8530
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX07719101YM0800X
TX000879 036170106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1347LCOtherBCBS
TX232624OtherVALUE OPTIONS