Provider Demographics
NPI:1609637727
Name:VILLARREAL, ADRIANA MICHELLE (MA, LPC-A, SP)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:MICHELLE
Last Name:VILLARREAL
Suffix:
Gender:F
Credentials:MA, LPC-A, SP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15511 WOODFOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:CHANNELVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:77530-3454
Mailing Address - Country:US
Mailing Address - Phone:832-210-6154
Mailing Address - Fax:
Practice Address - Street 1:15511 WOODFOREST BLVD
Practice Address - Street 2:
Practice Address - City:CHANNELVIEW
Practice Address - State:TX
Practice Address - Zip Code:77530-3454
Practice Address - Country:US
Practice Address - Phone:409-210-9092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93250103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling