Provider Demographics
NPI:1164180220
Name:HERVEY, PATIENCE AMBER (LMFT, NCSP, PPS)
Entity Type:Individual
Prefix:MRS
First Name:PATIENCE
Middle Name:AMBER
Last Name:HERVEY
Suffix:
Gender:F
Credentials:LMFT, NCSP, PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1870 BIRD ST
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95965-4855
Mailing Address - Country:US
Mailing Address - Phone:530-532-5849
Mailing Address - Fax:530-532-5920
Practice Address - Street 1:1859 BIRD ST
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95965-4854
Practice Address - Country:US
Practice Address - Phone:530-532-5849
Practice Address - Fax:530-532-5920
Is Sole Proprietor?:No
Enumeration Date:2021-12-06
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCSP41372103TS0200X
CALMFT106363106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist