Provider Demographics
NPI:1376623553
Name:PEOPLES, PATRICIA A (MS LPC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:A
Last Name:PEOPLES
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:PATTI
Other - Middle Name:
Other - Last Name:PEOPLES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS LPC
Mailing Address - Street 1:1415 SWEET STONE CT
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-4129
Mailing Address - Country:US
Mailing Address - Phone:832-221-4556
Mailing Address - Fax:281-476-6424
Practice Address - Street 1:1415 SWEET STONE CT
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:TX
Practice Address - Zip Code:77586-4129
Practice Address - Country:US
Practice Address - Phone:832-221-4556
Practice Address - Fax:281-476-6424
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16637101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10012395OtherAMERIGROUP
TXMIS#278368000OtherMAGELLAN MANAGED CARE
TX100097894001OtherAPS HEALTHCARE
TX189649OtherCOMPSYCH
TX10659952249OtherHUMANA
TX239835OtherMANAGED HEALTH NETWORK
TX4167LCOtherBLUE CROSS BLUE SHIELD
TX515837OtherVALUE OPTIONS
TX7473279OtherAETNA MANAGED CARE
TX028612201Medicaid
TX1134760OtherBEECHSTREET