Provider Demographics
NPI:1821983966
Name:GERMAIN, PATSY (MHC-LP)
Entity type:Individual
Prefix:MRS
First Name:PATSY
Middle Name:
Last Name:GERMAIN
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SETTLER AVE
Mailing Address - Street 2:
Mailing Address - City:CORAM
Mailing Address - State:NY
Mailing Address - Zip Code:11727-2119
Mailing Address - Country:US
Mailing Address - Phone:516-319-3623
Mailing Address - Fax:
Practice Address - Street 1:2015 SHORE PKWY APT 2C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-6819
Practice Address - Country:US
Practice Address - Phone:609-836-0077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health