Provider Demographics
NPI:1639743719
Name:KATHERINE FOUTZ LCSW PLLC
Entity Type:Organization
Organization Name:KATHERINE FOUTZ LCSW PLLC
Other - Org Name:WATERWHEEL COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:972-729-9360
Mailing Address - Street 1:5435 N GARLAND AVE STE 140 #253
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-2787
Mailing Address - Country:US
Mailing Address - Phone:214-402-0613
Mailing Address - Fax:
Practice Address - Street 1:7531 SPICEWOOD DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-2568
Practice Address - Country:US
Practice Address - Phone:729-729-9360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-13
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty