Provider Demographics
NPI:1033536032
Name:ERNESTINE, BENETTA WOODS (LPC-S, EDD)
Entity Type:Individual
Prefix:DR
First Name:BENETTA
Middle Name:WOODS
Last Name:ERNESTINE
Suffix:
Gender:F
Credentials:LPC-S, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7122 ROCKY RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3856
Mailing Address - Country:US
Mailing Address - Phone:281-687-4430
Mailing Address - Fax:281-633-9920
Practice Address - Street 1:7122 ROCKY RIDGE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3856
Practice Address - Country:US
Practice Address - Phone:281-687-4430
Practice Address - Fax:281-633-9920
Is Sole Proprietor?:No
Enumeration Date:2014-03-27
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20322101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor