Provider Demographics
NPI:1467097774
Name:CATHEY, JOSEPH W (MA, LPC, LAC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:W
Last Name:CATHEY
Suffix:
Gender:M
Credentials:MA, LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6985 TUTT BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-3588
Mailing Address - Country:US
Mailing Address - Phone:719-624-0594
Mailing Address - Fax:719-204-1203
Practice Address - Street 1:6985 TUTT BLVD STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-3588
Practice Address - Country:US
Practice Address - Phone:719-624-0594
Practice Address - Fax:719-204-1203
Is Sole Proprietor?:No
Enumeration Date:2019-11-11
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0001639101YA0400X
COLPC.0015897101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)