Provider Demographics
NPI:1497523138
Name:URESTI, YANIRA (LPC)
Entity Type:Individual
Prefix:
First Name:YANIRA
Middle Name:
Last Name:URESTI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8106 TERRA CANYON LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-7518
Mailing Address - Country:US
Mailing Address - Phone:713-732-0417
Mailing Address - Fax:
Practice Address - Street 1:3845 CYPRESS CREEK PKWY STE 282
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3510
Practice Address - Country:US
Practice Address - Phone:713-732-0417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87639101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional