Provider Demographics
NPI:1063563096
Name:KATHLEEN GEIGER, LPC, PA
Entity type:Organization
Organization Name:KATHLEEN GEIGER, LPC, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEIGER
Authorized Official - Suffix:
Authorized Official - Credentials:MED LPC
Authorized Official - Phone:254-772-2006
Mailing Address - Street 1:213A OLD HEWITT RD
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-6647
Mailing Address - Country:US
Mailing Address - Phone:254-772-2006
Mailing Address - Fax:254-772-2011
Practice Address - Street 1:213A OLD HEWITT RD
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-6647
Practice Address - Country:US
Practice Address - Phone:254-772-2006
Practice Address - Fax:254-772-2011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10048101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty