Provider Demographics
NPI:1689931081
Name:MENDEZ, AIDA (LPC)
Entity Type:Individual
Prefix:
First Name:AIDA
Middle Name:
Last Name:MENDEZ
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 1:27907 HERITAGE STREAM DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5139
Mailing Address - Country:US
Mailing Address - Phone:318-840-1398
Mailing Address - Fax:
Practice Address - Street 1:1832 SNAKE RIVER RD STE E
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-7741
Practice Address - Country:US
Practice Address - Phone:318-840-1398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-23
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67791101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional