Provider Demographics
NPI:1912867490
Name:SEELA, KATHRYN (LCSW)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:SEELA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KATY
Other - Middle Name:
Other - Last Name:SEELA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5001 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-3886
Mailing Address - Country:US
Mailing Address - Phone:512-688-6250
Mailing Address - Fax:833-499-4630
Practice Address - Street 1:5001 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-3886
Practice Address - Country:US
Practice Address - Phone:512-688-6250
Practice Address - Fax:833-499-4630
Is Sole Proprietor?:No
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1100421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical