Provider Demographics
NPI:1639822299
Name:ATKINSON, PAIGE ADDISON (LPC)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:ADDISON
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:ADDISON
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:4310 STILLBROOKE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-5022
Mailing Address - Country:US
Mailing Address - Phone:713-818-1793
Mailing Address - Fax:
Practice Address - Street 1:4310 STILLBROOKE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-5022
Practice Address - Country:US
Practice Address - Phone:713-818-1793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79523101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor