Provider Demographics
NPI:1306391032
Name:OBERLI, PATRICIA
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:
Last Name:OBERLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 PROGRESSIVE BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-4083
Mailing Address - Country:US
Mailing Address - Phone:985-746-5681
Mailing Address - Fax:985-293-7143
Practice Address - Street 1:120 PROGRESSIVE BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-4083
Practice Address - Country:US
Practice Address - Phone:985-746-5681
Practice Address - Fax:985-293-7143
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health