Provider Demographics
NPI:1891401097
Name:PATRICIA ARTIGUES LCSW, PLLC
Entity Type:Organization
Organization Name:PATRICIA ARTIGUES LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-303-0312
Mailing Address - Street 1:309 LLEWELLYN AVE STE B
Mailing Address - Street 2:
Mailing Address - City:MCCOMB
Mailing Address - State:MS
Mailing Address - Zip Code:39648-2703
Mailing Address - Country:US
Mailing Address - Phone:601-207-4770
Mailing Address - Fax:
Practice Address - Street 1:309 LLEWELLYN AVE STE B
Practice Address - Street 2:
Practice Address - City:MCCOMB
Practice Address - State:MS
Practice Address - Zip Code:39648-2703
Practice Address - Country:US
Practice Address - Phone:601-207-4770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty