Provider Demographics
NPI:1568654630
Name:MEADE, PATRICIA E (LPC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:E
Last Name:MEADE
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 1:16901 N BOSWELL BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SUN CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:85351-1294
Mailing Address - Country:US
Mailing Address - Phone:623-974-9504
Mailing Address - Fax:623-974-9505
Practice Address - Street 1:16901 N BOSWELL BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351-1294
Practice Address - Country:US
Practice Address - Phone:623-974-9504
Practice Address - Fax:623-974-9505
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLISAC-11390101YA0400X
AZLPC-2213101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)