Healthcare Provider Details

I. General information

NPI: 1255197877
Provider Name (Legal Business Name): CATHEY ANN LYNETTE LAW LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2024
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 DEBBIE LN APT 3102
ARLINGTON TX
76002-4803
US

IV. Provider business mailing address

617 DEBBIE LN APT 3102
ARLINGTON TX
76002-4803
US

V. Phone/Fax

Practice location:
  • Phone: 770-865-2773
  • Fax: 770-865-2773
Mailing address:
  • Phone: 770-865-2773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number94089
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01258100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: