Provider Demographics
NPI:1023794443
Name:FEYERHERM, KATRINA ELISE (LPC)
Entity type:Individual
Prefix:MS
First Name:KATRINA
Middle Name:ELISE
Last Name:FEYERHERM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12409 LARGO DR APT 27
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-2044
Mailing Address - Country:US
Mailing Address - Phone:401-524-9515
Mailing Address - Fax:
Practice Address - Street 1:12409 LARGO DR APT 27
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31419-2044
Practice Address - Country:US
Practice Address - Phone:401-524-9515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-22
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC015558101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty