Provider Demographics
NPI:1346631389
Name:MCHENRY, KELVIN LYLE (MS, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:KELVIN
Middle Name:LYLE
Last Name:MCHENRY
Suffix:
Gender:M
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:17077 N TEXAS AVE UNIT 58837
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4378
Mailing Address - Country:US
Mailing Address - Phone:832-977-6138
Mailing Address - Fax:888-651-1525
Practice Address - Street 1:422 RICHVALE LN
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-2502
Practice Address - Country:US
Practice Address - Phone:832-977-6138
Practice Address - Fax:888-651-1525
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-12
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70693101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional