Provider Demographics
NPI:1326484155
Name:COOPER, CAREN RANDLE (EDD, LPC, NCC)
Entity Type:Individual
Prefix:DR
First Name:CAREN
Middle Name:RANDLE
Last Name:COOPER
Suffix:
Gender:F
Credentials:EDD, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15051 TRINITY MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-2478
Mailing Address - Country:US
Mailing Address - Phone:713-586-9822
Mailing Address - Fax:832-288-2451
Practice Address - Street 1:12910 SOUTHBRIDGE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-2750
Practice Address - Country:US
Practice Address - Phone:713-586-9822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-20
Last Update Date:2019-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68058101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor