Healthcare Provider Details

I. General information

NPI: 1346524329
Provider Name (Legal Business Name): KATHERINA TERHUNE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2011
Last Update Date: 10/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 MONARCH STREET #250
LEXINGTON KY
40513
US

IV. Provider business mailing address

1000 MONARCH STREET #250
LEXINGTON KY
40513
US

V. Phone/Fax

Practice location:
  • Phone: 859-296-3141
  • Fax: 859-296-3144
Mailing address:
  • Phone: 859-296-3141
  • Fax: 859-296-3144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3435
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: