Healthcare Provider Details

I. General information

NPI: 1932903507
Provider Name (Legal Business Name): CATHRYN WILLIAMS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 STONE CANYON DR
LYONS CO
80540-4201
US

IV. Provider business mailing address

130 STONE CANYON DR
LYONS CO
80540-4201
US

V. Phone/Fax

Practice location:
  • Phone: 303-704-1483
  • Fax:
Mailing address:
  • Phone: 303-704-1483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC0015723
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: