Provider Demographics
NPI:1992304562
Name:READY, KATRENA LASHAWN (MSW, LMHP-R)
Entity type:Individual
Prefix:
First Name:KATRENA
Middle Name:LASHAWN
Last Name:READY
Suffix:
Gender:F
Credentials:MSW, LMHP-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2521 TROTTERS LN APT 203-7
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-1490
Mailing Address - Country:US
Mailing Address - Phone:804-496-8826
Mailing Address - Fax:
Practice Address - Street 1:2521 TROTTERS LN APT 203-7
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-1490
Practice Address - Country:US
Practice Address - Phone:804-496-8826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA853601428Medicaid