Provider Demographics
NPI:1285689679
Name:FEIGLEY, PATRICIA WELDON (MSW LMFT LISWCP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:WELDON
Last Name:FEIGLEY
Suffix:
Gender:F
Credentials:MSW LMFT LISWCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 RICHLAND ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-2611
Mailing Address - Country:US
Mailing Address - Phone:803-252-4042
Mailing Address - Fax:803-252-7440
Practice Address - Street 1:1530 RICHLAND ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2611
Practice Address - Country:US
Practice Address - Phone:803-252-4042
Practice Address - Fax:803-252-7440
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0958104100000X
SC55106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist