Basic Information
Provider Information
NPI: 1619279692
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOBAN
FirstName: PATRICIA
MiddleName: WHELESS
NamePrefix: MRS.
NameSuffix:  
Credential: M.A., LPC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: GREER
OtherFirstName: PATRICIA
OtherMiddleName: WHELESS
OtherNamePrefix: MS.
OtherNameSuffix:  
OtherCredential: M.A., LPC
OtherLastNameType: 1
Mailing Information
Address1: 2 GREENWAY PLZ
Address2: SUITE 900
City: HOUSTON
State: TX
PostalCode: 770460297
CountryCode: US
TelephoneNumber: 7137981835
FaxNumber:  
Practice Location
Address1: 1504 TAUB LOOP
Address2:  
City: HOUSTON
State: TX
PostalCode: 770301608
CountryCode: US
TelephoneNumber: 7138732000
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/24/2010
LastUpdateDate: 03/04/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X65556TXN Behavioral Health & Social Service ProvidersCounselorProfessional
101YP2500X  Y Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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