MEDICARE: PATRICIA ANN TATE LPC-S

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	101Y00000X	Counselor	4796	LA

General Provider Information

NPI Number	:	1770872061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA ANN TATE LPC-S

Provider Business Mailing Address
First Line	:	59496 VINCENT ST
Second Line	:
City	:	SLIDELL
State	:	LA
Zip	:	70460-5032
Country	:	US
Telephone Number	:	985-788-4564
Fax Number	:

Provider Business Practice Location Address
First Line	:	3108 CLEARY AVE STE 108
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-5755
Country	:	US
Telephone Number	:	504-354-9069
Fax Number	:	504-381-4438

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

Provider Enumeration Date	:	04/07/2011
Last Update Date	:	03/23/2026

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Directions to “ PATRICIA ANN TATE LPC-S” Practice Location

Language	Start Address	Practice Location

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