Provider Demographics
NPI:1922379072
Name:COPELAND, MARISHA (MA, LPC-S)
Entity Type:Individual
Prefix:MS
First Name:MARISHA
Middle Name:
Last Name:COPELAND
Suffix:
Gender:F
Credentials:MA, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 POST OAK BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-3973
Mailing Address - Country:US
Mailing Address - Phone:832-304-4484
Mailing Address - Fax:832-218-5019
Practice Address - Street 1:1700 POST OAK BLVD STE 600
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3973
Practice Address - Country:US
Practice Address - Phone:832-304-4484
Practice Address - Fax:832-218-5019
Is Sole Proprietor?:No
Enumeration Date:2012-01-21
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66366101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health