Provider Demographics
NPI:1225176753
Name:CRAVEN, PATRICIA ANN (PHD, LMFT-S, RPT-S)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ANN
Last Name:CRAVEN
Suffix:
Gender:F
Credentials:PHD, LMFT-S, RPT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 CLARK RD STE 170
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-8435
Mailing Address - Country:US
Mailing Address - Phone:941-888-2081
Mailing Address - Fax:888-700-6760
Practice Address - Street 1:3333 CLARK RD STE 170
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-8435
Practice Address - Country:US
Practice Address - Phone:941-888-2081
Practice Address - Fax:888-700-6760
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2022-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717001916106H00000X
NC1068106H00000X
TX5224106H00000X
FLMT 2156106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0717001916OtherVA LMFT
NC1068OtherNC LMFT LICENSE
TX5224OtherTX LMFT LICENSE
FLMT 2156OtherLMFT LICENSE
FL001180500Medicaid
NC6105049Medicaid