Provider Demographics
NPI:1679015267
Name:PAPEN, VIRGINIA (MS, LPC, LCDC)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:PAPEN
Suffix:
Gender:F
Credentials:MS, LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 WINSLOW CT
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-4511
Mailing Address - Country:US
Mailing Address - Phone:512-638-2066
Mailing Address - Fax:
Practice Address - Street 1:1220 WINSTON DR
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75077-3739
Practice Address - Country:US
Practice Address - Phone:406-781-1696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-14
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13681101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)