Provider Demographics
NPI:1750722013
Name:PATTON AND ASSOCIATES
Entity type:Organization
Organization Name:PATTON AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:GAY
Authorized Official - Middle Name:L
Authorized Official - Last Name:PATTON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LPC
Authorized Official - Phone:309-269-7982
Mailing Address - Street 1:29W522 BATAVIA RD
Mailing Address - Street 2:
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-2007
Mailing Address - Country:US
Mailing Address - Phone:309-269-7982
Mailing Address - Fax:
Practice Address - Street 1:29W522 BATAVIA RD
Practice Address - Street 2:
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-2007
Practice Address - Country:US
Practice Address - Phone:309-269-7982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.005684101YP2500X
IL166.000853106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty