Healthcare Provider Details

I. General information

NPI: 1023705332
Provider Name (Legal Business Name): KATHERINE ANN SKEEN-MORRIS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATIE SKEEN-MORRIS MA-MFT

II. Dates (important events)

Enumeration Date: 04/18/2023
Last Update Date: 01/09/2024
Certification Date: 04/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WOODFORD COUNTY HIGH HEALTHY KIDS CLINIC 180 FRANKFORT ST
VERSAILLES KY
40383-1163
US

IV. Provider business mailing address

PO BOX 1080
BURKESVILLE KY
42717-1080
US

V. Phone/Fax

Practice location:
  • Phone: 844-435-0900
  • Fax: 270-858-4029
Mailing address:
  • Phone: 270-864-1642
  • Fax: 270-864-1693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number274526
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number289117
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: