Provider Demographics
NPI:1881027167
Name:HICKS, LAURA PAIGE (MA, LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:PAIGE
Last Name:HICKS
Suffix:
Gender:F
Credentials:MA, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14531 OAK CHASE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-2286
Mailing Address - Country:US
Mailing Address - Phone:281-639-9205
Mailing Address - Fax:
Practice Address - Street 1:1414 S FRIENDSWOOD DR STE 430
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-4831
Practice Address - Country:US
Practice Address - Phone:832-569-2450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-09
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201418106H00000X
TX66430101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist