Provider Demographics
NPI:1841478062
Name:VICK, CATHY L (LPC)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:L
Last Name:VICK
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 1:9801 UXBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-6365
Mailing Address - Country:US
Mailing Address - Phone:806-549-5900
Mailing Address - Fax:806-368-3016
Practice Address - Street 1:9801 UXBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-6365
Practice Address - Country:US
Practice Address - Phone:806-549-5900
Practice Address - Fax:806-368-3016
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional