MEDICARE: PATRICIA R WESTAWAY MA, LCMHC

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	101YM0800X	Mental Health Counselor	470	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14Y001550NH01	OTHER	NH	BLUE CROSS BLUE SHIELD NH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992804041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA R WESTAWAY MA, LCMHC

Provider Business Mailing Address
First Line	:	3332 BRIDGES ST
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-3280
Country	:	US
Telephone Number	:	252-222-0681
Fax Number	:

Provider Business Practice Location Address
First Line	:	3332 BRIDGES ST
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-3280
Country	:	US
Telephone Number	:	252-222-0681
Fax Number	:

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

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	02/17/2016

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