Provider Demographics
NPI:1588989230
Name:LITTLE, KATHERINE HICKS (PMHNP-C)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:HICKS
Last Name:LITTLE
Suffix:
Gender:F
Credentials:PMHNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 MARIE RD
Mailing Address - Street 2:
Mailing Address - City:CHURCH POINT
Mailing Address - State:LA
Mailing Address - Zip Code:70525-7001
Mailing Address - Country:US
Mailing Address - Phone:337-684-0042
Mailing Address - Fax:
Practice Address - Street 1:246 MARIE RD
Practice Address - Street 2:
Practice Address - City:CHURCH POINT
Practice Address - State:LA
Practice Address - Zip Code:70525-7001
Practice Address - Country:US
Practice Address - Phone:337-684-0042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-06
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN100811-AP06090163WP0808X
LAAP06090363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health