Provider Demographics
NPI:1659135457
Name:ROBERTS, LORRETTA (LPC-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:LORRETTA
Middle Name:
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 N FM 3083 RD W APT 4200
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77303-2040
Mailing Address - Country:US
Mailing Address - Phone:832-836-8400
Mailing Address - Fax:
Practice Address - Street 1:800 N FM 3083 RD W APT 4200
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77303-2040
Practice Address - Country:US
Practice Address - Phone:832-836-8400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93280101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor