Provider Demographics
NPI:1720769797
Name:CAT CONFIDENTIAL AUTHENTIC THERAPY LLC
Entity type:Organization
Organization Name:CAT CONFIDENTIAL AUTHENTIC THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHLEEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOLM
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT
Authorized Official - Phone:715-670-8524
Mailing Address - Street 1:4201 S 26TH ST
Mailing Address - Street 2:
Mailing Address - City:MANITOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:54220-9566
Mailing Address - Country:US
Mailing Address - Phone:715-670-8524
Mailing Address - Fax:
Practice Address - Street 1:311 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-4044
Practice Address - Country:US
Practice Address - Phone:715-670-8524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty