Provider Demographics
NPI:1518481449
Name:RIOS, LAJUNTA MICHELLE (LPC)
Entity Type:Individual
Prefix:
First Name:LAJUNTA
Middle Name:MICHELLE
Last Name:RIOS
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 1:7215 SEMINOLE ST
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-9767
Mailing Address - Country:US
Mailing Address - Phone:832-597-5337
Mailing Address - Fax:
Practice Address - Street 1:5010 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-9606
Practice Address - Country:US
Practice Address - Phone:281-421-0090
Practice Address - Fax:281-421-0193
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-02
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69496101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional