MEDICARE: DR. KRISTIE E CATO LPC, LMFT

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
1	106H00000X	Marriage & Family Therapist	40	LA
2	101YP2500X	Professional Counselor	2097	LA

General Provider Information

NPI Number	:	1932188273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTIE E CATO LPC, LMFT

Provider Business Mailing Address
First Line	:	76095 LAZY R RD
Second Line	:
City	:	COVINGTON
State	:	LA
Zip	:	70435-0625
Country	:	US
Telephone Number	:	985-778-1773
Fax Number	:	985-888-1432

Provider Business Practice Location Address
First Line	:	76095 LAZY R RD
Second Line	:
City	:	COVINGTON
State	:	LA
Zip	:	70435-0625
Country	:	US
Telephone Number	:	985-778-1773
Fax Number	:	985-888-1432

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2006
Last Update Date	:	03/17/2018

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