Provider Demographics
NPI:1588772768
Name:HOLDEN, PATRICIA MONAHAN (L P C)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:MONAHAN
Last Name:HOLDEN
Suffix:
Gender:F
Credentials:L P C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2102 RIVER FALLS DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-3153
Mailing Address - Country:US
Mailing Address - Phone:281-358-0449
Mailing Address - Fax:281-358-0449
Practice Address - Street 1:2102 RIVER FALLS DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-3153
Practice Address - Country:US
Practice Address - Phone:281-358-0449
Practice Address - Fax:281-358-0449
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11494101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA125890OtherMANAGED HEALTH NETWORK