Individual provider · Type 1 NPI

Kathryn Aurora Headley, CPPM, QPIN

Counselor · Hollywood, FL

NPI number 1609222850 Active

Practice location

11011 Sheridan St Ste 210
Hollywood, FL 33026-1531

Mailing address

270 SW 112th Ter
Pembroke Pines, FL 33025-3410

Other practice locations

  • 270 SW 112th Ter, Pembroke Pines, FL 33025-3410 · (954) 449-3740

Specialties and licenses

TaxonomyCodeLicense
Health Educator 174H00000XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1609222850

Kathryn Aurora Headley, CPPM, QPIN's National Provider Identifier is 1609222850, issued on May 6, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Hollywood, FL. The record was last updated on Dec 27, 2024.