Provider Demographics
NPI:1174242242
Name:CATALYST THERAPY & CONSULTING, PLLC
Entity type:Organization
Organization Name:CATALYST THERAPY & CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GENTRY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:318-510-8995
Mailing Address - Street 1:245 COUNTY ROAD 3581
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:TX
Mailing Address - Zip Code:76073-5013
Mailing Address - Country:US
Mailing Address - Phone:318-510-8995
Mailing Address - Fax:
Practice Address - Street 1:245 COUNTY ROAD 3581
Practice Address - Street 2:
Practice Address - City:PARADISE
Practice Address - State:TX
Practice Address - Zip Code:76073-5013
Practice Address - Country:US
Practice Address - Phone:318-510-8995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty