Provider Demographics
NPI:1699256685
Name:PRICE, KATHRYN (MS, NCC, LCMHC, LCAS)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:MS, NCC, LCMHC, LCAS
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:HART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, NCC, LCMHC, LCAS
Mailing Address - Street 1:2897 VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-3812
Mailing Address - Country:US
Mailing Address - Phone:252-220-0660
Mailing Address - Fax:844-440-5505
Practice Address - Street 1:2931 BREEZEWOOD AVE STE 203
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-5281
Practice Address - Country:US
Practice Address - Phone:910-491-6011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-27
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA14126101YP2500X
NC14126101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional