Provider Demographics
NPI:1174886907
Name:RITZ, PATRICIA MARIE (LPC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MARIE
Last Name:RITZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:RITZ
Other - Last Name:CURATTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:534 AUTUMN DR
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:MI
Mailing Address - Zip Code:48433-1921
Mailing Address - Country:US
Mailing Address - Phone:810-931-6783
Mailing Address - Fax:
Practice Address - Street 1:5406 GATEWAY CTR
Practice Address - Street 2:STE A
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-3900
Practice Address - Country:US
Practice Address - Phone:810-931-6783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-18
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401012604101YM0800X
MI5501010069225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist