Provider Demographics
NPI:1013309350
Name:VALENCIA, PATRICIA (MS LMHC, LPC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:VALENCIA
Suffix:
Gender:
Credentials:MS LMHC, LPC
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:LA GREE-VALENCIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, MHC-LP
Mailing Address - Street 1:PO BOX 220072
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11022-0072
Mailing Address - Country:US
Mailing Address - Phone:347-692-0402
Mailing Address - Fax:
Practice Address - Street 1:777 W PUTNAM AVE STE 300
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-5000
Practice Address - Country:US
Practice Address - Phone:347-692-0402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-24
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010571101YM0800X
CT8231101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health