Provider Demographics
NPI:1689446007
Name:HOUSTON, CARLA (LPC)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:HOUSTON
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 1:10074 BLACK MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77385-1502
Mailing Address - Country:US
Mailing Address - Phone:832-623-0354
Mailing Address - Fax:832-218-0316
Practice Address - Street 1:150 PINE FOREST DR STE 108
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77384-5302
Practice Address - Country:US
Practice Address - Phone:832-623-0354
Practice Address - Fax:832-218-0316
Is Sole Proprietor?:No
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61693101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health