1659210417 NPI number — PATRICIA SOFIA ARCHILLA-FRATICELLI LCMHCA, NCC

Table of content: PATRICIA SOFIA ARCHILLA-FRATICELLI LCMHCA, NCC (NPI 1659210417)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659210417 NPI number — PATRICIA SOFIA ARCHILLA-FRATICELLI LCMHCA, NCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARCHILLA-FRATICELLI
Provider First Name:
PATRICIA
Provider Middle Name:
SOFIA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCMHCA, NCC
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:
1659210417
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/26/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1117 E MOREHEAD ST STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLOTTE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28204-2870
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
980-220-2223
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
B11 CALLE CRISANTEMOS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAGUAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00727-1259
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
939-273-4624
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/26/2026

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: 101YM0800X , with the licence number:  A22244 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2026 www.npivalidator.com