Provider Demographics
NPI:1316421977
Name:KATHY WILLIAMS-TOLSTRUP LPC LLC
Entity type:Organization
Organization Name:KATHY WILLIAMS-TOLSTRUP LPC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS-TOLSTRUP
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:970-391-8292
Mailing Address - Street 1:1016 SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80521-1847
Mailing Address - Country:US
Mailing Address - Phone:970-391-8292
Mailing Address - Fax:
Practice Address - Street 1:412 W OLIVE ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80521-2632
Practice Address - Country:US
Practice Address - Phone:970-391-8292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-19
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty