Provider Demographics
NPI:1851716468
Name:MCLAUGHLIN, PATRICIA KAY (CRC, LPC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:KAY
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:CRC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:461 CHINABERRY TRAIL
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126
Mailing Address - Country:US
Mailing Address - Phone:469-855-6893
Mailing Address - Fax:469-375-5388
Practice Address - Street 1:713 W. BROAD STREET, SUITE 200
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126
Practice Address - Country:US
Practice Address - Phone:469-855-6893
Practice Address - Fax:469-375-5388
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-19
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101Y00000X
TX00008720225C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
No101Y00000XBehavioral Health & Social Service ProvidersCounselor