Provider Demographics
NPI:1619509858
Name:BATHIE, PATRICIA HELEN (LPCC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:HELEN
Last Name:BATHIE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4243 AUBURN AVE.
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104
Mailing Address - Country:US
Mailing Address - Phone:701-412-8087
Mailing Address - Fax:701-446-3299
Practice Address - Street 1:4243 AUBURN AVE.
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104
Practice Address - Country:US
Practice Address - Phone:701-412-1444
Practice Address - Fax:701-446-3299
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-05
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND950-6-1-18A101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional