Provider Demographics
NPI:1013574409
Name:CARRINGTON, PATRICIA MICHELLE (LPC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:MICHELLE
Last Name:CARRINGTON
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 1:10105 W COLDSPRING RD APT 106
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53228-2632
Mailing Address - Country:US
Mailing Address - Phone:414-559-0845
Mailing Address - Fax:
Practice Address - Street 1:1409 E CAPITOL DR STE 202
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53211-1959
Practice Address - Country:US
Practice Address - Phone:414-963-8711
Practice Address - Fax:866-545-1113
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7366-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional