Provider Demographics
NPI:1174494173
Name:CATALYST THERAPY AND CONSULTATION, LLC
Entity type:Organization
Organization Name:CATALYST THERAPY AND CONSULTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WEIDEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LLP, BCBA, LBA
Authorized Official - Phone:734-347-0201
Mailing Address - Street 1:7004 PITTSFORD ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-2705
Mailing Address - Country:US
Mailing Address - Phone:734-347-0201
Mailing Address - Fax:
Practice Address - Street 1:7004 PITTSFORD ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2705
Practice Address - Country:US
Practice Address - Phone:734-347-0201
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)