Provider Demographics
NPI:1467818344
Name:KRISTI PATTERSON FAMILY & PLAY THERAPY, PLLC
Entity Type:Organization
Organization Name:KRISTI PATTERSON FAMILY & PLAY THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT, LPC, RPT
Authorized Official - Phone:713-817-7896
Mailing Address - Street 1:20214 WOODSBORO CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-5426
Mailing Address - Country:US
Mailing Address - Phone:713-817-7897
Mailing Address - Fax:888-508-9712
Practice Address - Street 1:26310 OAK RIDGE DR STE 39
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-1963
Practice Address - Country:US
Practice Address - Phone:713-817-7896
Practice Address - Fax:888-508-9712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-08
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5043251S00000X
TX59134251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health