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NPI Code Detail

MEDICARE: CATHY WILEY

MEDICARE: CATHY WILEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2104100000XSocial Worker17253LA
3171M00000XCase Manager/Care Coordinator
41041C0700XClinical Social Worker17253LA
5101YA0400XAddiction (Substance Use Disorder) Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10317OTHERRCPCS

General Provider Information

NPI Number : 1346610334
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHY WILEY
Provider Business Mailing Address
First Line : 4951 CENTRAL AVE
Second Line :
City : MONROE
State : LA
Zip : 71203-6156
Country : US
Telephone Number : 318-340-1535
Fax Number : 318-340-1539
Provider Business Practice Location Address
First Line : 4951 CENTRAL AVE
Second Line :
City : MONROE
State : LA
Zip : 71203-6156
Country : US
Telephone Number : 318-340-1535
Fax Number : 318-340-1539
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2015
Last Update Date : 06/12/2026

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Directions to “ CATHY WILEY ” Practice Location

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