Healthcare Provider Details

I. General information

NPI: 1467818344
Provider Name (Legal Business Name): KRISTI PATTERSON FAMILY & PLAY THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2016
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2102 RAWLS RANCH CT
CONROE TX
77301-1704
US

IV. Provider business mailing address

2102 RAWLS RANCH CT
CONROE TX
77301-1704
US

V. Phone/Fax

Practice location:
  • Phone: 713-817-7897
  • Fax: 888-508-9712
Mailing address:
  • Phone: 713-817-7897
  • Fax: 888-508-9712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number5043
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number59134
License Number StateTX

VIII. Authorized Official

Name: MRS. KRISTI ANNE PATTERSON
Title or Position: OWNER
Credential: MA, LMFT, LPC, RPT
Phone: 713-817-7896