Provider Demographics
NPI:1831109784
Name:PEARCE, PATTI FRANCES (LPC)
Entity Type:Individual
Prefix:MS
First Name:PATTI
Middle Name:FRANCES
Last Name:PEARCE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 GATEWAY BLVD
Mailing Address - Street 2:STE 385
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3546
Mailing Address - Country:US
Mailing Address - Phone:214-712-4155
Mailing Address - Fax:
Practice Address - Street 1:1701 GATEWAY BLVD
Practice Address - Street 2:STE 385
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3546
Practice Address - Country:US
Practice Address - Phone:214-712-4155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2017-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15717101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX028413501Medicaid