Provider Demographics
NPI:1689012494
Name:MALONE, LADONNA ROCHELLE (MED, MA, LPC)
Entity Type:Individual
Prefix:
First Name:LADONNA
Middle Name:ROCHELLE
Last Name:MALONE
Suffix:
Gender:F
Credentials:MED, MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3422 BUSINESS CENTER DRIVE
Mailing Address - Street 2:SUITE 106 #1108
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-0596
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3422 BUSINESS CENTER DRIVE
Practice Address - Street 2:SUITE 106 #1108
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-0596
Practice Address - Country:US
Practice Address - Phone:832-506-9600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-13
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67984101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor