Provider Demographics
NPI:1447415716
Name:THORNES, PATRICIA RAE (LPC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:RAE
Last Name:THORNES
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 1:5268 GODWIN BLVD
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-8114
Mailing Address - Country:US
Mailing Address - Phone:757-255-2662
Mailing Address - Fax:757-255-7115
Practice Address - Street 1:5268 GODWIN BLVD
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-8114
Practice Address - Country:US
Practice Address - Phone:757-255-2662
Practice Address - Fax:757-255-7115
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004032101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional