Provider Demographics
NPI:1790016061
Name:SPROTT, JEREMY N (LPC)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:N
Last Name:SPROTT
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5311 KIRBY DR
Mailing Address - Street 2:SUITE #204
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1364
Mailing Address - Country:US
Mailing Address - Phone:713-533-9811
Mailing Address - Fax:832-201-8679
Practice Address - Street 1:5311 KIRBY DR
Practice Address - Street 2:SUITE #204
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-1364
Practice Address - Country:US
Practice Address - Phone:713-533-9811
Practice Address - Fax:832-201-8679
Is Sole Proprietor?:No
Enumeration Date:2010-01-26
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61915101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional