Provider Demographics
NPI:1942600028
Name:WORLEDGE, CAITLYN JOELLE (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:CAITLYN
Middle Name:JOELLE
Last Name:WORLEDGE
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 BROADMOOR LN
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-2703
Mailing Address - Country:US
Mailing Address - Phone:214-564-1636
Mailing Address - Fax:
Practice Address - Street 1:3020 BROADMOOR LN
Practice Address - Street 2:SUITE 200
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-2703
Practice Address - Country:US
Practice Address - Phone:214-564-1636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70026101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor