Provider Demographics
NPI:1417077447
Name:EKWERE, JOSEPH EFFIONG (LMFT)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:EFFIONG
Last Name:EKWERE
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7803 CHASEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-1836
Mailing Address - Country:US
Mailing Address - Phone:832-721-0402
Mailing Address - Fax:
Practice Address - Street 1:6300 HILLCROFT ST
Practice Address - Street 2:617
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-3006
Practice Address - Country:US
Practice Address - Phone:713-541-1354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5373101YA0400X
TX4481106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX028217001Medicaid
TX10019004OtherAMERIGROUP