Provider Demographics
NPI:1134822968
Name:CATHY SALMONS LCSW PLLC
Entity type:Organization
Organization Name:CATHY SALMONS LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SALMON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:802-345-6687
Mailing Address - Street 1:2126 MOHICAN TRL
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-3717
Mailing Address - Country:US
Mailing Address - Phone:802-345-6687
Mailing Address - Fax:
Practice Address - Street 1:240 N PENNSYLVANIA AVE STE 202
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-3766
Practice Address - Country:US
Practice Address - Phone:802-345-6687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center