Provider Demographics
NPI:1881836161
Name:GLOVER, KEISHA HENDERSON (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KEISHA
Middle Name:HENDERSON
Last Name:GLOVER
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 1:926 PRESLEY WAY
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-5271
Mailing Address - Country:US
Mailing Address - Phone:281-277-5514
Mailing Address - Fax:
Practice Address - Street 1:926 PRESLEY WAY
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-5271
Practice Address - Country:US
Practice Address - Phone:281-277-5514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional