Provider Demographics
NPI:1518422856
Name:MALIK, RAMPATTIE YENA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:RAMPATTIE
Middle Name:YENA
Last Name:MALIK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:YENA
Other - Middle Name:
Other - Last Name:MALIK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:17318 TOWER FALLS LN
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-3804
Mailing Address - Country:US
Mailing Address - Phone:936-777-5625
Mailing Address - Fax:
Practice Address - Street 1:17318 TOWER FALLS LN
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-3804
Practice Address - Country:US
Practice Address - Phone:936-777-5625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX75661101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX75661OtherPRIVATE PRACTICE