Provider Demographics
NPI:1225584311
Name:KOENIG, PATSY (LPC)
Entity Type:Individual
Prefix:
First Name:PATSY
Middle Name:
Last Name:KOENIG
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 1:614 WHITEHURST CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-1927
Mailing Address - Country:US
Mailing Address - Phone:713-870-8450
Mailing Address - Fax:
Practice Address - Street 1:12340 JONES RD
Practice Address - Street 2:SUITE 290
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4863
Practice Address - Country:US
Practice Address - Phone:832-678-8455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70834101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health