Provider Demographics
NPI:1861815292
Name:MENDEZ, HENRY J (LPC)
Entity Type:Individual
Prefix:MR
First Name:HENRY
Middle Name:J
Last Name:MENDEZ
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:HENRY
Other - Middle Name:J
Other - Last Name:MENDEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:13447 N CENTRAL EXPY
Mailing Address - Street 2:APT 802
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-1100
Mailing Address - Country:US
Mailing Address - Phone:214-556-7991
Mailing Address - Fax:
Practice Address - Street 1:1200 E COLLINS BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-2457
Practice Address - Country:US
Practice Address - Phone:972-669-1733
Practice Address - Fax:972-669-1403
Is Sole Proprietor?:No
Enumeration Date:2014-01-21
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69516101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health