Provider Demographics
NPI:1699417477
Name:CATHEY-WILLIAMS, DANA (PAYD)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:CATHEY-WILLIAMS
Suffix:
Gender:F
Credentials:PAYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6801 TUCKASEEGEE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28214-2733
Mailing Address - Country:US
Mailing Address - Phone:678-849-4651
Mailing Address - Fax:
Practice Address - Street 1:1406 BEATTIES FORD RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28216-4550
Practice Address - Country:US
Practice Address - Phone:678-849-4651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA555538101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral