Provider Demographics
NPI:1881393361
Name:DEEDS, PATTY (MA, LPC, ALPS, LSW)
Entity type:Individual
Prefix:MS
First Name:PATTY
Middle Name:
Last Name:DEEDS
Suffix:
Gender:F
Credentials:MA, LPC, ALPS, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 HILLVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:WV
Mailing Address - Zip Code:25541-9375
Mailing Address - Country:US
Mailing Address - Phone:304-942-5554
Mailing Address - Fax:
Practice Address - Street 1:1115 20TH STREET
Practice Address - Street 2:SUITE 205
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25703
Practice Address - Country:US
Practice Address - Phone:304-691-1500
Practice Address - Fax:304-691-1819
Is Sole Proprietor?:No
Enumeration Date:2023-02-23
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional