Provider Demographics
NPI:1568129260
Name:GREY, KATHERINE CARPENTER (LMFT)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:CARPENTER
Last Name:GREY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 S PALM CANYON DR UNIT 141
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92264-8372
Mailing Address - Country:US
Mailing Address - Phone:323-877-3337
Mailing Address - Fax:
Practice Address - Street 1:1950 S PALM CANYON DR UNIT 141
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92264-8372
Practice Address - Country:US
Practice Address - Phone:323-877-3337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-17
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA141310101YM0800X
CA127182101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health