Provider Demographics
NPI:1639413834
Name:CHEEK, PATRICIA ANN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:CHEEK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:PATRICIA
Other - Middle Name:TOWNZEN
Other - Last Name:CHEEK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, MED
Mailing Address - Street 1:7713 WOLF HOLW
Mailing Address - Street 2:
Mailing Address - City:MILLSAP
Mailing Address - State:TX
Mailing Address - Zip Code:76066-3577
Mailing Address - Country:US
Mailing Address - Phone:817-613-7828
Mailing Address - Fax:817-341-1996
Practice Address - Street 1:7713 WOLF HOLW
Practice Address - Street 2:
Practice Address - City:MILLSAP
Practice Address - State:TX
Practice Address - Zip Code:76066-3577
Practice Address - Country:US
Practice Address - Phone:817-613-7828
Practice Address - Fax:817-341-1996
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-12
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18805101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional