Provider Demographics
NPI:1437632965
Name:HARTSFIELD, PATRICE LASHAWN (LPC)
Entity Type:Individual
Prefix:
First Name:PATRICE
Middle Name:LASHAWN
Last Name:HARTSFIELD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 S VOSS RD APT 421
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-4437
Mailing Address - Country:US
Mailing Address - Phone:512-791-0459
Mailing Address - Fax:
Practice Address - Street 1:2525 S VOSS RD APT 421
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-4437
Practice Address - Country:US
Practice Address - Phone:512-791-0459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75135101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty