Provider Demographics
NPI:1457698672
Name:GATHINGS, KATHIE DIANE (LPC)
Entity Type:Individual
Prefix:
First Name:KATHIE
Middle Name:DIANE
Last Name:GATHINGS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 SUNFLOWER LN
Mailing Address - Street 2:
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76048-2711
Mailing Address - Country:US
Mailing Address - Phone:325-864-4360
Mailing Address - Fax:
Practice Address - Street 1:1501 SUNFLOWER LN
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76048-2711
Practice Address - Country:US
Practice Address - Phone:325-864-4360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX162655101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional