Provider Demographics
NPI:1902370430
Name:FARINA BALLESTEROS, ESTEFANIA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:ESTEFANIA
Middle Name:
Last Name:FARINA BALLESTEROS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:BALLESTEROS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:8732 ROBINDELL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-7551
Mailing Address - Country:US
Mailing Address - Phone:346-800-1864
Mailing Address - Fax:
Practice Address - Street 1:5318 WESLAYAN ST # 1005
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-1048
Practice Address - Country:US
Practice Address - Phone:346-800-1864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-17
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX200901106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist