Provider Demographics
NPI:1548605736
Name:HENSLEY, CAITLIN (LPC, LCDC)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9337 KATY FWY # 289B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1542
Mailing Address - Country:US
Mailing Address - Phone:713-270-6753
Mailing Address - Fax:
Practice Address - Street 1:12955 MEMORIAL DR # F225
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-7302
Practice Address - Country:US
Practice Address - Phone:713-270-6753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11459101YA0400X
TX67350101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)