Provider Demographics
NPI:1841566569
Name:CHAVEZ-ANAYA, PATRICIA (MHR LPC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:CHAVEZ-ANAYA
Suffix:
Gender:F
Credentials:MHR LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11208 SW 37TH CT
Mailing Address - Street 2:
Mailing Address - City:MUSTANG
Mailing Address - State:OK
Mailing Address - Zip Code:73064-9209
Mailing Address - Country:US
Mailing Address - Phone:405-317-6613
Mailing Address - Fax:
Practice Address - Street 1:5909 NW EXPRESSWAY
Practice Address - Street 2:SUITE 530
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-5161
Practice Address - Country:US
Practice Address - Phone:405-470-8778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-27
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4322101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional