Provider Demographics
NPI:1730426727
Name:OWENS, PATRICIA LYNN (LCHMC, LCAS)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LYNN
Last Name:OWENS
Suffix:
Gender:F
Credentials:LCHMC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 1ST ST W
Mailing Address - Street 2:
Mailing Address - City:AHOSKIE
Mailing Address - State:NC
Mailing Address - Zip Code:27910-2923
Mailing Address - Country:US
Mailing Address - Phone:252-862-5869
Mailing Address - Fax:
Practice Address - Street 1:144B COMMUNITY COLLEGE RD
Practice Address - Street 2:
Practice Address - City:AHOSKIE
Practice Address - State:NC
Practice Address - Zip Code:27910-8047
Practice Address - Country:US
Practice Address - Phone:252-209-8932
Practice Address - Fax:252-332-2483
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-10
Last Update Date:2021-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3076101YA0400X
NCA9888101YM0800X
NC9888101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)