Healthcare Provider Details

I. General information

NPI: 1114858479
Provider Name (Legal Business Name): AHNA N. CATES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W 18TH ST
LA PORTE IN
46350-6830
US

IV. Provider business mailing address

101 W 18TH ST
LA PORTE IN
46350-6830
US

V. Phone/Fax

Practice location:
  • Phone: 219-369-2341
  • Fax:
Mailing address:
  • Phone: 219-369-2341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: