Provider Demographics
NPI:1093854515
Name:MAKRIDIS, AMPARO (LPC)
Entity Type:Individual
Prefix:
First Name:AMPARO
Middle Name:
Last Name:MAKRIDIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 ARROW HILL RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-1002
Mailing Address - Country:US
Mailing Address - Phone:281-870-8192
Mailing Address - Fax:
Practice Address - Street 1:1018 ARROW HILL RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-1002
Practice Address - Country:US
Practice Address - Phone:281-870-8192
Practice Address - Fax:281-870-8192
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13554101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional