Provider Demographics
NPI:1841649209
Name:DAVIS, KATERRA EILEEN (LMFT)
Entity type:Individual
Prefix:MRS
First Name:KATERRA
Middle Name:EILEEN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 79094
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:TX
Mailing Address - Zip Code:76179-0094
Mailing Address - Country:US
Mailing Address - Phone:682-717-4534
Mailing Address - Fax:
Practice Address - Street 1:3838 OAK LAWN AVE STE 1000
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-4511
Practice Address - Country:US
Practice Address - Phone:682-717-4534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-07
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA113117106H00000X
TX204319106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist