Provider Demographics
NPI:1326393349
Name:VANDERHOEVEN, VIKKI (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:VIKKI
Middle Name:
Last Name:VANDERHOEVEN
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:MRS
Other - First Name:VIKKI
Other - Middle Name:
Other - Last Name:COTA-TUCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:790 GENERATIONS DR STE 410
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130
Mailing Address - Country:US
Mailing Address - Phone:830-625-0599
Mailing Address - Fax:830-625-5877
Practice Address - Street 1:790 GENERATIONS DR STE 410
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130
Practice Address - Country:US
Practice Address - Phone:830-625-0599
Practice Address - Fax:830-625-5877
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61184106H00000X
TX203544106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX203544OtherLMFT