Provider Demographics
NPI:1902133598
Name:HOLM, KATIE M (LMLP)
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:M
Last Name:HOLM
Suffix:
Gender:F
Credentials:LMLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3242 SW SKYLINE DR W
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-3919
Mailing Address - Country:US
Mailing Address - Phone:785-342-4084
Mailing Address - Fax:888-972-5038
Practice Address - Street 1:2955 SW WANAMAKER DR STE B
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-5341
Practice Address - Country:US
Practice Address - Phone:785-559-1160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-03
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMLP1313103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist