Provider Demographics
NPI:1457003667
Name:MENDES, KARISHMA CLIFF (LPC ASSOCIATE)
Entity Type:Individual
Prefix:MISS
First Name:KARISHMA
Middle Name:CLIFF
Last Name:MENDES
Suffix:
Gender:F
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2717 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3669
Mailing Address - Country:US
Mailing Address - Phone:832-638-1153
Mailing Address - Fax:
Practice Address - Street 1:2549 ROY RD
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-8604
Practice Address - Country:US
Practice Address - Phone:281-485-9280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84718101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional