Provider Demographics
NPI:1710118773
Name:REYNA, LESA M (MS, LPC, LMFTA)
Entity Type:Individual
Prefix:
First Name:LESA
Middle Name:M
Last Name:REYNA
Suffix:
Gender:F
Credentials:MS, LPC, LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8955 HIGHWAY 6 N
Mailing Address - Street 2:SUITE 150
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2320
Mailing Address - Country:US
Mailing Address - Phone:281-855-1982
Mailing Address - Fax:281-864-4353
Practice Address - Street 1:8955 HIGHWAY 6 N
Practice Address - Street 2:SUITE 150
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2320
Practice Address - Country:US
Practice Address - Phone:281-855-1982
Practice Address - Fax:281-864-4353
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64901101YM0800X, 101YP2500X
TX201313106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist