Provider Demographics
NPI:1083717557
Name:COOPER, MAUREEN HANNANT (LPC LMFT)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:HANNANT
Last Name:COOPER
Suffix:
Gender:F
Credentials:LPC LMFT
Other - Prefix:
Other - First Name:MAUREEN
Other - Middle Name:HANNANT
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2060 NORTH LOOP W STE 205
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-8146
Mailing Address - Country:US
Mailing Address - Phone:832-247-5638
Mailing Address - Fax:832-247-5639
Practice Address - Street 1:2060 NORTH LOOP W STE 205
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-8146
Practice Address - Country:US
Practice Address - Phone:832-247-5638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16422101YP2500X
TX4993106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional