Individual
PATRICIA P HAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4131 SPICEWOOD SPRINGS RD, BLDG L STE. 4, AUSTIN, TX 78759-8661
(512) 454-0265
(512) 342-1043
Mailing address
4131 SPICEWOOD SPRINGS RD, BLDG L STE. 4, AUSTIN, TX 78759-8661
(512) 454-0265
(512) 342-1043
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW00835
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004KM
BLUE CROSS BLUE SHIEDL
TX
01
—
012408000
MAGELLAN BEHAVIORAL HEALT
TX
05
—
1640690-01
—
TX
01
—
5521672
AETNA
TX
Enumeration date
01/08/2006
Last updated
12/20/2011
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