Provider Demographics
NPI:1518293620
Name:COLES, VIVIANA ARANGO (DMFT, LMFT, CST)
Entity Type:Individual
Prefix:DR
First Name:VIVIANA
Middle Name:ARANGO
Last Name:COLES
Suffix:
Gender:F
Credentials:DMFT, LMFT, CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 N SHEPHERD DR
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-3752
Mailing Address - Country:US
Mailing Address - Phone:713-542-2221
Mailing Address - Fax:713-868-9631
Practice Address - Street 1:1302 N SHEPHERD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-3752
Practice Address - Country:US
Practice Address - Phone:713-542-2221
Practice Address - Fax:713-868-9631
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-23
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201194106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist