Provider Demographics
NPI:1609318633
Name:WILLIAMS, KATHI JO (LCMFT)
Entity Type:Individual
Prefix:DR
First Name:KATHI
Middle Name:JO
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23401 PRAIRIE STAR PKWY STE B220
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66227-7268
Mailing Address - Country:US
Mailing Address - Phone:913-538-9999
Mailing Address - Fax:913-538-9997
Practice Address - Street 1:23401 PRAIRIE STAR PKWY STE B220
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66227-7268
Practice Address - Country:US
Practice Address - Phone:913-538-9999
Practice Address - Fax:913-538-9997
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-08
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS29351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical