Healthcare Provider Details

I. General information

NPI: 1285298570
Provider Name (Legal Business Name): PATRICIA C ORTEZ APARICIO LCPC, LPC, SCHOOL CO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2019
Last Update Date: 01/11/2024
Certification Date: 01/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 UNIVERSITY BLVD E STE 255
HYATTSVILLE MD
20783-4619
US

IV. Provider business mailing address

5603 LANSING DR
TEMPLE HILLS MD
20748-4005
US

V. Phone/Fax

Practice location:
  • Phone: 301-237-3725
  • Fax:
Mailing address:
  • Phone: 202-550-1288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC-903
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: