1013355924 NPI number — MRS. PATRICIA CROWDER HORNER LPC

Table of content: MRS. PATRICIA CROWDER HORNER LPC (NPI 1013355924)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013355924 NPI number — MRS. PATRICIA CROWDER HORNER LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HORNER
Provider First Name:
PATRICIA
Provider Middle Name:
CROWDER
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013355924
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/15/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8249 CROWN COLONY PKWY
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
MECHANICSVILLE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23116-4057
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-789-1224
Provider Business Mailing Address Fax Number:
804-789-9564

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
920 FRANCIS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLEN ALLEN
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23059-4527
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-873-4961
Provider Business Practice Location Address Fax Number:
844-424-9067
Provider Enumeration Date:
06/13/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  0701005456 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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