Provider Demographics
NPI:1760255301
Name:LEDGER, MICHAELAN (LCSW, LCDC)
Entity Type:Individual
Prefix:
First Name:MICHAELAN
Middle Name:
Last Name:LEDGER
Suffix:
Gender:F
Credentials:LCSW, LCDC
Other - Prefix:
Other - First Name:MICHAELAN
Other - Middle Name:
Other - Last Name:CARLISLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, LCDC
Mailing Address - Street 1:8000 RESEARCH FOREST DR
Mailing Address - Street 2:SUITE 115 PMB 1168
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77382
Mailing Address - Country:US
Mailing Address - Phone:713-893-3989
Mailing Address - Fax:888-502-1506
Practice Address - Street 1:16502 N MEADOW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073
Practice Address - Country:US
Practice Address - Phone:713-893-3989
Practice Address - Fax:888-502-1506
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX315481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical