Provider Demographics
NPI:1669079760
Name:PATRICIA BATHIE COUNSELING
Entity type:Organization
Organization Name:PATRICIA BATHIE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:BATHIE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC/LPCC NCC
Authorized Official - Phone:701-412-8087
Mailing Address - Street 1:4243 AUBURN AVE
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-8428
Mailing Address - Country:US
Mailing Address - Phone:701-412-8087
Mailing Address - Fax:701-446-3699
Practice Address - Street 1:4243 AUBURN AVE
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-8428
Practice Address - Country:US
Practice Address - Phone:701-412-8087
Practice Address - Fax:701-446-3699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty