Headley, Katy Lauren M

Headley, Katy Lauren M is an sole proprietor health care provider with primary practice located at 1030 Nevada St Ste 200 , Redlands CA 92374-2958. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Headley, Katy Lauren M can be contacted via phone (909) 347-9270.

Contact Information

Primary practice address
1030 Nevada St Ste 200 Redlands CA 92374-2958
Phone: (909) 347-9270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6833 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 115726 California
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 132536 California

Profile Details

NPI number 1578073367
LBN Legal business name Headley, Katy Lauren M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2017
Last updated May 9th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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