Provider Demographics
NPI:1235956400
Name:CATHY ENOCHS LLC
Entity type:Organization
Organization Name:CATHY ENOCHS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CO-FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ENOCHS
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:765-748-0715
Mailing Address - Street 1:6353 GRAND HICKORY DR
Mailing Address - Street 2:
Mailing Address - City:BRASELTON
Mailing Address - State:GA
Mailing Address - Zip Code:30517-6235
Mailing Address - Country:US
Mailing Address - Phone:765-748-0715
Mailing Address - Fax:
Practice Address - Street 1:6353 GRAND HICKORY DR
Practice Address - Street 2:
Practice Address - City:BRASELTON
Practice Address - State:GA
Practice Address - Zip Code:30517-6235
Practice Address - Country:US
Practice Address - Phone:765-748-0715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty