Provider Demographics
NPI:1841898087
Name:GARLAND, PATRICK ONEIL SR
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:ONEIL
Last Name:GARLAND
Suffix:SR
Gender:M
Credentials:
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 11445
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24543-5025
Mailing Address - Country:US
Mailing Address - Phone:434-250-0920
Mailing Address - Fax:
Practice Address - Street 1:874 CLAIBORNE ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-3636
Practice Address - Country:US
Practice Address - Phone:434-250-0920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-10
Last Update Date:2020-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health