Provider Demographics
NPI:1770822868
Name:REMINGTON, PATRICIA (MA, LPC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:REMINGTON
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:TRISH
Other - Middle Name:
Other - Last Name:REMINGTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:123 N SEGUIN AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-5162
Mailing Address - Country:US
Mailing Address - Phone:361-244-6795
Mailing Address - Fax:
Practice Address - Street 1:123 N SEGUIN AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-5162
Practice Address - Country:US
Practice Address - Phone:361-244-6795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-08
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18952101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional