Provider Demographics
NPI:1891848040
Name:MCCOY, PATRICIA ANN (MED, LCPC, CHT, NCC)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANN
Last Name:MCCOY
Suffix:
Gender:F
Credentials:MED, LCPC, CHT, NCC
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:ANN
Other - Last Name:HINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, LCPC, CHT, NCC
Mailing Address - Street 1:2718 DAWN DR
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59404-3634
Mailing Address - Country:US
Mailing Address - Phone:406-599-7218
Mailing Address - Fax:
Practice Address - Street 1:320 1/2 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-3114
Practice Address - Country:US
Practice Address - Phone:406-599-7218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1045101YM0800X, 101YP2500X
MT54155101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool