Healthcare Provider Details

I. General information

NPI: 1396437620
Provider Name (Legal Business Name): KATHARINE JEAN LAYMON MS, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2023
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 SUNSET DR
GRENADA MS
38901-4091
US

IV. Provider business mailing address

131 COVENTRY LN
BRANDON MS
39042-4403
US

V. Phone/Fax

Practice location:
  • Phone: 662-307-2884
  • Fax: 662-307-2887
Mailing address:
  • Phone: 763-258-9936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8035
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCC02868
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: