Provider Demographics
NPI:1437428869
Name:STALLINGS, CATHERINE WYNDELL (LMHC CAP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:WYNDELL
Last Name:STALLINGS
Suffix:
Gender:F
Credentials:LMHC CAP
Other - Prefix:
Other - First Name:WYNNE
Other - Middle Name:
Other - Last Name:STALLINGS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC CAP
Mailing Address - Street 1:1801 N FLAGLER DR
Mailing Address - Street 2:#229
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-6558
Mailing Address - Country:US
Mailing Address - Phone:561-389-5236
Mailing Address - Fax:
Practice Address - Street 1:11911 US HIGHWAY 1
Practice Address - Street 2:SUITE 201-4
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-2827
Practice Address - Country:US
Practice Address - Phone:561-463-3078
Practice Address - Fax:561-622-6815
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-13
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11027101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health