Provider Demographics
NPI:1831254549
Name:WALKER, KATE MCLELLAN (PHD, LPC, LMFT)
Entity type:Individual
Prefix:DR
First Name:KATE
Middle Name:MCLELLAN
Last Name:WALKER
Suffix:
Gender:F
Credentials:PHD, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9595 SIX PINES DR
Mailing Address - Street 2:SUITE 8210
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1531
Mailing Address - Country:US
Mailing Address - Phone:936-697-2822
Mailing Address - Fax:
Practice Address - Street 1:9595 SIX PINES DR.
Practice Address - Street 2:SUITE 239
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381
Practice Address - Country:US
Practice Address - Phone:936-718-1145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX200892106H00000X
TX20174101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional