Provider Demographics
NPI:1558508077
Name:MINIX, QUINELLA ANNETTE (EDD, LPC, NCC)
Entity Type:Individual
Prefix:DR
First Name:QUINELLA
Middle Name:ANNETTE
Last Name:MINIX
Suffix:
Gender:F
Credentials:EDD, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9303 FOX BEND LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-7217
Mailing Address - Country:US
Mailing Address - Phone:832-594-6916
Mailing Address - Fax:
Practice Address - Street 1:2700 LAKE OLYMPIA PKWY
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4324
Practice Address - Country:US
Practice Address - Phone:832-594-6916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-21
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19582101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional