Vaughan, Katherine Ivey Marie

Vaughan, Katherine Ivey Marie is an sole proprietor health care provider with primary practice located at 11757 Wild Pear Ln , Fort Worth TX 76244-8816. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Vaughan, Katherine Ivey Marie can be contacted via phone (817) 657-4631.

Contact Information

Primary practice address
11757 Wild Pear Ln Fort Worth TX 76244-8816
Phone: (817) 657-4631
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 204361 Texas
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 204361 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 204361 Texas
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 204361 Texas

Profile Details

NPI number 1801539572
LBN Legal business name Vaughan, Katherine Ivey Marie
Credentials LMFTA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2022
Last updated Apr 20th, 2022 - about 2 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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