Provider Demographics
NPI:1609501469
Name:LYKES, TREMAINE
Entity Type:Individual
Prefix:MRS
First Name:TREMAINE
Middle Name:
Last Name:LYKES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18720 ENCINAL TRL
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77355-2074
Mailing Address - Country:US
Mailing Address - Phone:832-594-2939
Mailing Address - Fax:
Practice Address - Street 1:18720 ENCINAL TRL
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77355-2074
Practice Address - Country:US
Practice Address - Phone:832-594-2939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-17
Last Update Date:2022-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor