Provider Demographics
NPI:1407950496
Name:STREI, PATRICIA J (LCSW LMFT)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:J
Last Name:STREI
Suffix:
Gender:F
Credentials:LCSW LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 W MAIN ST
Mailing Address - Street 2:SUITE 219
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-5809
Mailing Address - Country:US
Mailing Address - Phone:512-388-5443
Mailing Address - Fax:512-310-0322
Practice Address - Street 1:400 W MAIN ST
Practice Address - Street 2:SUITE 219
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-5809
Practice Address - Country:US
Practice Address - Phone:512-388-5443
Practice Address - Fax:512-310-0322
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-11
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLCSW14160103T00000X
TXLMFT4362103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX486747000OtherMAGELLAN BEH HEALTH
TX00580ZOtherBLUE CROSS BLUE SHIELD
TX235307150OtherUNITED BEHAVIORAL HEALTH
TX336574OtherVALUE OPTIONS
TX486747000OtherMAGELLAN BEH HEALTH