Provider Demographics
NPI:1679365969
Name:CARY, KATHERINE WEST (MS)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:WEST
Last Name:CARY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:KATIE
Other - Middle Name:WEST
Other - Last Name:CARY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:6540 ALLIANCE DR STE 110
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-0058
Mailing Address - Country:US
Mailing Address - Phone:469-640-0846
Mailing Address - Fax:
Practice Address - Street 1:6540 ALLIANCE DR STE 110
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-0058
Practice Address - Country:US
Practice Address - Phone:469-640-0846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-21
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99279101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health