Provider Demographics
NPI:1194288910
Name:BATES, KATHERINE LEIGH (LPC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:LEIGH
Last Name:BATES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3570 E 12TH AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-3448
Mailing Address - Country:US
Mailing Address - Phone:678-908-7856
Mailing Address - Fax:720-664-4754
Practice Address - Street 1:3570 E 12TH AVE STE 212
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-3448
Practice Address - Country:US
Practice Address - Phone:720-927-9007
Practice Address - Fax:720-664-4754
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-09
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0019537101YP2500X, 221700000X
KY168256221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist