Provider Demographics
NPI:1639931397
Name:REDDING, MINDY ANN (LPC)
Entity Type:Individual
Prefix:
First Name:MINDY
Middle Name:ANN
Last Name:REDDING
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4516 FM 778
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:TX
Mailing Address - Zip Code:75773-5208
Mailing Address - Country:US
Mailing Address - Phone:214-478-7106
Mailing Address - Fax:
Practice Address - Street 1:4516 FM 778
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:TX
Practice Address - Zip Code:75773-5208
Practice Address - Country:US
Practice Address - Phone:214-478-7106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78141101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health