Provider Demographics
NPI:1144316589
Name:WOODYARD, CATHY (LPC)
Entity type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:WOODYARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:WOODYARD
Other - Last Name:BRAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:125 HOLLY VW
Mailing Address - Street 2:
Mailing Address - City:HOLLY LAKE RANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75765-7185
Mailing Address - Country:US
Mailing Address - Phone:469-223-2265
Mailing Address - Fax:
Practice Address - Street 1:125 HOLLY VW
Practice Address - Street 2:
Practice Address - City:HOLLY LAKE RANCH
Practice Address - State:TX
Practice Address - Zip Code:75765-7185
Practice Address - Country:US
Practice Address - Phone:469-223-2265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11223101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional