Provider Demographics
NPI:1013355924
Name:HORNER, PATRICIA CROWDER (LPC)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:CROWDER
Last Name:HORNER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8249 CROWN COLONY PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-4057
Mailing Address - Country:US
Mailing Address - Phone:804-789-1224
Mailing Address - Fax:804-789-9564
Practice Address - Street 1:8249 CROWN COLONY PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-4057
Practice Address - Country:US
Practice Address - Phone:804-789-1224
Practice Address - Fax:804-789-9564
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005456101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional