Provider Demographics
NPI:1841790474
Name:KATIE K. MAY, LLC
Entity Type:Organization
Organization Name:KATIE K. MAY, LLC
Other - Org Name:CREATIVE HEALING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:KEATES
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-813-2575
Mailing Address - Street 1:1811 BETHLEHEM PIKE
Mailing Address - Street 2:A102
Mailing Address - City:FLOURTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19031
Mailing Address - Country:US
Mailing Address - Phone:610-813-2575
Mailing Address - Fax:267-422-3468
Practice Address - Street 1:1811 BETHLEHEM PIKE
Practice Address - Street 2:A102
Practice Address - City:FLOURTOWN
Practice Address - State:PA
Practice Address - Zip Code:19031
Practice Address - Country:US
Practice Address - Phone:610-813-2575
Practice Address - Fax:267-422-3468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty