Provider Demographics
NPI:1023364882
Name:BISSONNET, PATRICIA METCALF (LCSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:METCALF
Last Name:BISSONNET
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 KIRBY DR STE 890
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3918
Mailing Address - Country:US
Mailing Address - Phone:713-705-9882
Mailing Address - Fax:
Practice Address - Street 1:2517 JULIAN ST APT 4
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77009-7435
Practice Address - Country:US
Practice Address - Phone:713-705-9882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-31
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX324921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical