KATRINA ANNA FAIRCHILD LPC NPI 1639737794

NPI Information

NPI: 1639737794
Provider Name: KATRINA ANNA FAIRCHILD, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3613 WILLIAMS DR STE 1005
GEORGETOWN, TX
ZIP 78628
Phone: (737) 279-4700
Get Directions

Katrina Anna Fairchild, LPC is a mental health counselor in Georgetown, TX. Katrina Anna Fairchild, LPC NPI is 1639737794. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3613 WILLIAMS DR STE 1005
GEORGETOWN, TX
ZIP 78628-376
Phone: (737) 279-4700
Fax: (737) 279-4500

The enumeration date for this NPI number is 6/4/2019 and was last updated on 1/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	74634	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	74634	OTHER	TEXAS	TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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