Healthcare Provider Details

I. General information

NPI: 1811530140
Provider Name (Legal Business Name): ELLEN A PATTON MA, PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2019
Last Update Date: 10/20/2021
Certification Date: 10/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 MEADOWVIEW DR
MINDEN LA
71055-3522
US

IV. Provider business mailing address

2019 AIRPORT LOOP
HOMER LA
71040-8639
US

V. Phone/Fax

Practice location:
  • Phone: 318-377-1072
  • Fax: 318-377-9283
Mailing address:
  • Phone: 630-267-7026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPLPC8071
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: