Provider Demographics
NPI:1851628457
Name:WEST, LIZZIE (LPC)
Entity Type:Individual
Prefix:
First Name:LIZZIE
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11152 WESTHEIMER RD
Mailing Address - Street 2:SUITE #774
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3208
Mailing Address - Country:US
Mailing Address - Phone:832-819-1099
Mailing Address - Fax:832-201-7748
Practice Address - Street 1:11152 WESTHEIMER RD
Practice Address - Street 2:SUITE #774
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3208
Practice Address - Country:US
Practice Address - Phone:832-819-1099
Practice Address - Fax:832-201-7748
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-03
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69426101YP2500X
LA3518101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional