Provider Demographics
NPI:1124184312
Name:IWE, ANDREW SONNY (MASTER'SLCDC,LMFT)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:SONNY
Last Name:IWE
Suffix:
Gender:M
Credentials:MASTER'SLCDC,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10103 FONDREN RD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-4556
Mailing Address - Country:US
Mailing Address - Phone:713-981-6063
Mailing Address - Fax:713-981-9772
Practice Address - Street 1:10103 FONDREN RD
Practice Address - Street 2:SUITE 330
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-4556
Practice Address - Country:US
Practice Address - Phone:713-981-6063
Practice Address - Fax:713-981-9772
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7776101YA0400X
LA724106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist