Provider Demographics
NPI:1790170199
Name:LINEN, LAQUANYA (LPC)
Entity Type:Individual
Prefix:
First Name:LAQUANYA
Middle Name:
Last Name:LINEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:QUANYA
Other - Middle Name:
Other - Last Name:LINEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:134 VINTAGE PARK BLVD STE A-503
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3998
Mailing Address - Country:US
Mailing Address - Phone:713-659-9784
Mailing Address - Fax:
Practice Address - Street 1:134 VINTAGE PARK BLVD STE A-503
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070
Practice Address - Country:US
Practice Address - Phone:713-659-9784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-02
Last Update Date:2018-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77448101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional