Provider Demographics
NPI:1346346699
Name:FLORES-WHORTON, CAROL RENEE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:RENEE
Last Name:FLORES-WHORTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9648 KURRE WAY
Mailing Address - Street 2:
Mailing Address - City:GARDEN RIDGE
Mailing Address - State:TX
Mailing Address - Zip Code:78266
Mailing Address - Country:US
Mailing Address - Phone:210-724-5077
Mailing Address - Fax:210-651-6424
Practice Address - Street 1:19315 FM 2252
Practice Address - Street 2:SUITE #156
Practice Address - City:GARDEN RIDGE
Practice Address - State:TX
Practice Address - Zip Code:78266
Practice Address - Country:US
Practice Address - Phone:210-724-5077
Practice Address - Fax:210-651-6424
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14104101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional