Provider Demographics
NPI:1760261929
Name:HODGES, KACY LAYNE (LPC-ASSOCIATE)
Entity Type:Individual
Prefix:MRS
First Name:KACY
Middle Name:LAYNE
Last Name:HODGES
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12236 GUN OAK PL
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1746
Mailing Address - Country:US
Mailing Address - Phone:409-622-9604
Mailing Address - Fax:
Practice Address - Street 1:10857 KUYKENDAHL RD STE 240
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-2937
Practice Address - Country:US
Practice Address - Phone:281-882-3706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86306101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health