Provider Demographics
NPI:1417179193
Name:WEST HOUSTON PSYCHOLOGICAL ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:WEST HOUSTON PSYCHOLOGICAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRAMLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:713-838-9119
Mailing Address - Street 1:3400 BISSONNET STREET
Mailing Address - Street 2:SUITE 155
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-2196
Mailing Address - Country:US
Mailing Address - Phone:713-838-9119
Mailing Address - Fax:713-838-9384
Practice Address - Street 1:3400 BISSONNET STREET
Practice Address - Street 2:SUITE 155
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-2196
Practice Address - Country:US
Practice Address - Phone:713-838-9119
Practice Address - Fax:713-838-9384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17863101YP2500X
TX15921101YP2500X
TX16334101YP2500X
TX3-0931103TC0700X
TX3-0857103TC0700X
TX5075106H00000X
TX4449106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty