Provider Demographics
NPI:1568240729
Name:WARS, PATRICIA MOORE (LPC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:MOORE
Last Name:WARS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:JEAN
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:840 N POSSUM WALK RD
Mailing Address - Street 2:
Mailing Address - City:GROVETON
Mailing Address - State:TX
Mailing Address - Zip Code:75845-5185
Mailing Address - Country:US
Mailing Address - Phone:936-671-0473
Mailing Address - Fax:
Practice Address - Street 1:840 N POSSUM WALK RD
Practice Address - Street 2:
Practice Address - City:GROVETON
Practice Address - State:TX
Practice Address - Zip Code:75845-5185
Practice Address - Country:US
Practice Address - Phone:936-671-0473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11382101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor