Patricia C Adcock, PHD

Individual provider Active NPI Marriage & Family Therapist · Hot Springs Village, AR

NPI 1447500764 · NPPES record last updated Sep 13, 2012

Key facts

NPI
1447500764
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
189178 (TX)
Practice address
1 Coronado Trce
Hot Springs Village, AR 71909-5436
Phone
(281) 825-8442
NPI assigned
Sep 13, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
189178TXMDMarriage & Family Therapist
1862TXMDFoot & Ankle Surgery Podiatrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1862 TX
Marriage & Family Therapist 106H00000X 189178 TX Yes

Addresses

Primary practice location

1 Coronado Trce
Hot Springs Village, AR 71909-5436

Mailing address

135 Rainbow Dr # 3544
Livingston, TX 77399-1035
Phone (281) 825-8442

Other providers in Hot Springs Village, AR

All providers in Hot Springs Village, AR · Marriage & Family Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.