Provider Demographics
NPI:1982329777
Name:MCENROE, PATRICK J (LMFT)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:J
Last Name:MCENROE
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-3226
Mailing Address - Country:US
Mailing Address - Phone:864-208-5352
Mailing Address - Fax:
Practice Address - Street 1:441 FOREST AVE
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-3226
Practice Address - Country:US
Practice Address - Phone:864-208-5352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist