Provider Demographics
NPI:1043580137
Name:WORLEY, KATHRYN (LMFT)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:WORLEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2936 EASTWIND DR
Mailing Address - Street 2:
Mailing Address - City:FERNANDINA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32034-8959
Mailing Address - Country:US
Mailing Address - Phone:315-885-3906
Mailing Address - Fax:
Practice Address - Street 1:1010 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:FERNANDINA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32034-3669
Practice Address - Country:US
Practice Address - Phone:315-885-3906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4976106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist