Provider Demographics
NPI:1104067289
Name:CATES, HARRY LOUIS II (LPC)
Entity type:Individual
Prefix:MR
First Name:HARRY
Middle Name:LOUIS
Last Name:CATES
Suffix:II
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2515 CEDAR SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-1460
Mailing Address - Country:US
Mailing Address - Phone:214-684-3395
Mailing Address - Fax:214-357-4082
Practice Address - Street 1:2515 CEDAR SPRINGS RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-1460
Practice Address - Country:US
Practice Address - Phone:214-684-3395
Practice Address - Fax:214-357-4082
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12024101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0955197-01Medicaid