Provider Demographics
NPI:1437307667
Name:HALLEY, PATRICIA (MS, LPC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:HALLEY
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4950 MEMORIAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-7440
Mailing Address - Country:US
Mailing Address - Phone:713-558-3944
Mailing Address - Fax:713-802-7751
Practice Address - Street 1:4950 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-7440
Practice Address - Country:US
Practice Address - Phone:713-558-3944
Practice Address - Fax:713-802-7751
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-29
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX59307101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX59307OtherLPC