1912969411 NPI number — PATRICIA INGHRAM CURTIS LMHC

Table of content: MEGAN KAY (NPI 1013312685)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912969411 NPI number — PATRICIA INGHRAM CURTIS LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CURTIS
Provider First Name:
PATRICIA
Provider Middle Name:
INGHRAM
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
INGHRAM
Provider Other First Name:
PATRICIA
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMHC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1912969411
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/16/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
719 JADWIN AVE # 16
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHLAND
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
99352-4217
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
509-943-7016
Provider Business Mailing Address Fax Number:
509-943-2129

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
719 JADWIN AVE
Provider Second Line Business Practice Location Address:
SUITE 16
Provider Business Practice Location Address City Name:
RICHLAND
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99352-4217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-943-7016
Provider Business Practice Location Address Fax Number:
509-967-4754
Provider Enumeration Date:
04/03/2006

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:  LH00007538 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 890-2874 . This is a "CRIME VICTIMS/L&I" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: LH00007538 . This is a "LICENSED COUNSELOR" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 202213578-99352 . This is a "TRI-CARE/TRI-WEST" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 2211205 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".




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