Provider Demographics
NPI:1508065517
Name:UGWU, PATRICIA IFEOMA (LPC)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:IFEOMA
Last Name:UGWU
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 1:14107 VILLAGE BIRCH ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-2076
Mailing Address - Country:US
Mailing Address - Phone:281-701-3068
Mailing Address - Fax:282-480-8218
Practice Address - Street 1:770 PINELOCH DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-2548
Practice Address - Country:US
Practice Address - Phone:281-701-3068
Practice Address - Fax:281-480-8281
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17423101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional