Provider Demographics
NPI:1386341139
Name:MOTE, PATRICIA DIANE (LPC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:DIANE
Last Name:MOTE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 PATIENCE
Mailing Address - Street 2:
Mailing Address - City:QUINLAN
Mailing Address - State:TX
Mailing Address - Zip Code:75474-4616
Mailing Address - Country:US
Mailing Address - Phone:903-474-0636
Mailing Address - Fax:
Practice Address - Street 1:7065 LOVE
Practice Address - Street 2:
Practice Address - City:QUINLAN
Practice Address - State:TX
Practice Address - Zip Code:75474-4609
Practice Address - Country:US
Practice Address - Phone:903-474-0636
Practice Address - Fax:903-453-6700
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-13
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88536101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional