Provider Demographics
NPI:1578693032
Name:SENDUKAS, FROSO H (LCSW LCDC)
Entity Type:Individual
Prefix:MS
First Name:FROSO
Middle Name:H
Last Name:SENDUKAS
Suffix:
Gender:F
Credentials:LCSW LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7887 SAN FELIPE
Mailing Address - Street 2:STE 248
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063
Mailing Address - Country:US
Mailing Address - Phone:713-974-1985
Mailing Address - Fax:713-974-3081
Practice Address - Street 1:7887 SAN FELIPE
Practice Address - Street 2:STE 248
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063
Practice Address - Country:US
Practice Address - Phone:713-974-1985
Practice Address - Fax:713-974-3081
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX898101YA0400X
TXS006421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXOOSE00S65MMedicare ID - Type Unspecified