Provider Demographics
NPI:1164047098
Name:HUSSEIN, ASHA (MA-LPC)
Entity Type:Individual
Prefix:MISS
First Name:ASHA
Middle Name:
Last Name:HUSSEIN
Suffix:
Gender:F
Credentials:MA-LPC
Other - Prefix:MISS
Other - First Name:ASHA
Other - Middle Name:
Other - Last Name:HUSSEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA-LPC
Mailing Address - Street 1:7101 APPALOOSA TRL APT 915
Mailing Address - Street 2:
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76901-5286
Mailing Address - Country:US
Mailing Address - Phone:832-643-9976
Mailing Address - Fax:
Practice Address - Street 1:2851 JOE DIMAGGIO BLVD STE 7
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-3928
Practice Address - Country:US
Practice Address - Phone:512-763-2186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-16
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80659222Q00000X, 101YP2500X
LPC225XL0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Multi-Specialty
No225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow VisionGroup - Multi-Specialty