Healthcare Provider Details

I. General information

NPI: 1972417533
Provider Name (Legal Business Name): KATS COTTAGE OF BEHAVIORAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2213 EVERGREEN AVE SE
PORT ORCHARD WA
98366-3024
US

IV. Provider business mailing address

2213 EVERGREEN AVE SE
PORT ORCHARD WA
98366-3024
US

V. Phone/Fax

Practice location:
  • Phone: 203-806-5287
  • Fax:
Mailing address:
  • Phone: 203-806-5287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: KATHRYN SODERBERG
Title or Position: CEO & OWNER
Credential: LICSW, MHP,
Phone: 203-806-5287