Individual
CATHY ROSE LEATHERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1111 BELT LINE RD STE 215, GARLAND, TX 75040-3201
(972) 213-2549
Mailing address
5930 VOLUNTEER PL, ROCKWALL, TX 75032-5724
(214) 636-7633
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
19526
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
19526
TX
101YM0800X
Mental Health Counselor
19526
TX
101YP2500X
Professional Counselor
Primary
19526
TX
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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