Provider Demographics
NPI:1891412995
Name:HODGES, TYLER (LMFT)
Entity Type:Individual
Prefix:
First Name:TYLER
Middle Name:
Last Name:HODGES
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2660 AUGUSTA DR APT E401
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-5898
Mailing Address - Country:US
Mailing Address - Phone:703-357-7197
Mailing Address - Fax:
Practice Address - Street 1:2660 AUGUSTA DR APT E401
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-5898
Practice Address - Country:US
Practice Address - Phone:703-357-7197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203338106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist