MEDICARE: MRS. PATRICIA MONAHAN HOLDEN L. P. C.

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
1	101YP2500X	Professional Counselor	11494	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	125890	OTHER	CA	MANAGED HEALTH NETWORK

General Provider Information

NPI Number	:	1588772768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA MONAHAN HOLDEN L. P. C.

Provider Business Mailing Address
First Line	:	2102 RIVER FALLS DR
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-3153
Country	:	US
Telephone Number	:	281-358-0449
Fax Number	:	281-358-0449

Provider Business Practice Location Address
First Line	:	2102 RIVER FALLS DR
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-3153
Country	:	US
Telephone Number	:	281-358-0449
Fax Number	:	281-358-0449

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	07/08/2007

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Directions to “ MRS. PATRICIA MONAHAN HOLDEN L. P. C.” Practice Location

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