Provider Demographics
NPI:1063187490
Name:BOTES, CATHERINE MCCREARY (LMFT (TEMP))
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MCCREARY
Last Name:BOTES
Suffix:
Gender:F
Credentials:LMFT (TEMP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 SEVEN SPRINGS WAY APT 219
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-6077
Mailing Address - Country:US
Mailing Address - Phone:704-458-7636
Mailing Address - Fax:
Practice Address - Street 1:357 RIVERSIDE DR STE 231
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-8987
Practice Address - Country:US
Practice Address - Phone:704-458-7636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1779106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist