Provider Demographics
NPI:1831295625
Name:TEJADA, NORMA (LPCC, LMFT)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:
Last Name:TEJADA
Suffix:
Gender:F
Credentials:LPCC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10245 KEMPWOOD DR STE E
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-1840
Mailing Address - Country:US
Mailing Address - Phone:713-647-0002
Mailing Address - Fax:713-647-0885
Practice Address - Street 1:5639 HEATHER RUN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041
Practice Address - Country:US
Practice Address - Phone:713-647-0002
Practice Address - Fax:713-647-0885
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3252106H00000X
TX3826101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX396217701Medicaid
NM40404226Medicaid