Provider Demographics
NPI:1710492368
Name:ZELAYA, MONICA (LPC)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:
Last Name:ZELAYA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:12436 FM 1960 RD W # 1547
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4809
Mailing Address - Country:US
Mailing Address - Phone:407-247-8225
Mailing Address - Fax:
Practice Address - Street 1:13414 LYNNVILLE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3118
Practice Address - Country:US
Practice Address - Phone:407-247-8225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-05
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX85287101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional