Provider Demographics
NPI:1295396422
Name:HAQUE, AFSHANA (PHD, LMFT-S)
Entity Type:Individual
Prefix:DR
First Name:AFSHANA
Middle Name:
Last Name:HAQUE
Suffix:
Gender:F
Credentials:PHD, LMFT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16815 ROYAL CREST DR STE 240
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-2551
Mailing Address - Country:US
Mailing Address - Phone:713-560-9379
Mailing Address - Fax:
Practice Address - Street 1:16815 ROYAL CREST DR STE 240
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2551
Practice Address - Country:US
Practice Address - Phone:713-560-9379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-27
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201198106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist