Provider Demographics
NPI:1114792264
Name:MCCLENDON, TKEA CHANICE (LPC-A)
Entity Type:Individual
Prefix:
First Name:TKEA
Middle Name:CHANICE
Last Name:MCCLENDON
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 OLD KATY RD APT 2420
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2292
Mailing Address - Country:US
Mailing Address - Phone:414-208-5265
Mailing Address - Fax:
Practice Address - Street 1:7100 OLD KATY RD APT 2420
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2292
Practice Address - Country:US
Practice Address - Phone:414-208-5265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-20
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90081101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor