Provider Demographics
NPI:1831681758
Name:GOINGS, KATARA TRENELL (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KATARA
Middle Name:TRENELL
Last Name:GOINGS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 WINDY GARDEN WAY
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-7218
Mailing Address - Country:US
Mailing Address - Phone:409-363-2057
Mailing Address - Fax:
Practice Address - Street 1:903 WINDY GARDEN WAY
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-7218
Practice Address - Country:US
Practice Address - Phone:409-363-2057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-06
Last Update Date:2018-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX567611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical