Provider Demographics
NPI:1134178221
Name:READING, PATRICIA (MSED, NCC, LPC, LCAS)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:READING
Suffix:
Gender:F
Credentials:MSED, NCC, LPC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 488
Mailing Address - Street 2:
Mailing Address - City:EDENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27932-0488
Mailing Address - Country:US
Mailing Address - Phone:252-338-5334
Mailing Address - Fax:252-338-1779
Practice Address - Street 1:508 E MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-4494
Practice Address - Country:US
Practice Address - Phone:252-338-5334
Practice Address - Fax:252-338-1779
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3710101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102432Medicaid