Provider Demographics
NPI:1568550960
Name:STRICKLAND, KATHY W (MA, LPC)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:W
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14911 CAPSTONE LN
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35613-7205
Mailing Address - Country:US
Mailing Address - Phone:256-874-7875
Mailing Address - Fax:
Practice Address - Street 1:3809 SULLIVAN ST STE 3A
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-3136
Practice Address - Country:US
Practice Address - Phone:256-874-7875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2310101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-33409OtherPROVIDER # FOR BCBS OF AL