Provider Demographics
NPI:1366652067
Name:PRADO, MARIA D (LCDC)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:D
Last Name:PRADO
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3905 BILLINGSLEY ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-4808
Mailing Address - Country:US
Mailing Address - Phone:281-200-9237
Mailing Address - Fax:281-400-3549
Practice Address - Street 1:3905 BILLINGSLEY STREET
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77009-4808
Practice Address - Country:US
Practice Address - Phone:281-200-9237
Practice Address - Fax:281-400-3549
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10310101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)