Provider Demographics
NPI:1801622170
Name:MCGUIRE, KATIE BARTA (LPC)
Entity type:Individual
Prefix:MS
First Name:KATIE
Middle Name:BARTA
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:ALEXANDRA
Other - Last Name:BARTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:218 INNER CIR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36113-1102
Mailing Address - Country:US
Mailing Address - Phone:512-788-0264
Mailing Address - Fax:
Practice Address - Street 1:218 INNER CIR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36113-1102
Practice Address - Country:US
Practice Address - Phone:512-788-0264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70975101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional