Provider Demographics
NPI:1922434299
Name:HENTSCH-COWLES, PATRICK (MS, NCC, LPC, CSAT)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:
Last Name:HENTSCH-COWLES
Suffix:
Gender:M
Credentials:MS, NCC, LPC, CSAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13355 NOEL RD STE 1100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-6694
Mailing Address - Country:US
Mailing Address - Phone:469-480-9098
Mailing Address - Fax:888-830-2954
Practice Address - Street 1:13355 NOEL RD STE 1100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6694
Practice Address - Country:US
Practice Address - Phone:469-480-9098
Practice Address - Fax:888-830-2954
Is Sole Proprietor?:No
Enumeration Date:2013-09-18
Last Update Date:2019-05-07
Deactivation Date:2019-03-26
Deactivation Code:
Reactivation Date:2019-04-03
Provider Licenses
StateLicense IDTaxonomies
TX72202101Y00000X, 101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)