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NPI Code Detail

MEDICARE: MS. PATRICIA MICHELLE CARRINGTON LPC

MEDICARE: MS. PATRICIA MICHELLE CARRINGTON LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor7366-125WI

General Provider Information

NPI Number : 1013574409
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA MICHELLE CARRINGTON LPC
Provider Business Mailing Address
First Line : 10105 W COLDSPRING RD APT 106
Second Line :
City : GREENFIELD
State : WI
Zip : 53228-2632
Country : US
Telephone Number : 414-559-0845
Fax Number :
Provider Business Practice Location Address
First Line : 16535 W BLUEMOUND RD STE 200
Second Line :
City : BROOKFIELD
State : WI
Zip : 53005-5906
Country : US
Telephone Number : 262-999-3495
Fax Number : 262-821-6180
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2019
Last Update Date : 05/21/2026

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