Provider Demographics
NPI:1942597273
Name:HENDERSON, LAURA BARBER (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:BARBER
Last Name:HENDERSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:LAURA
Other - Middle Name:LYNN
Other - Last Name:BARBER HENDERSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4086 HIGHLAND PASS
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77316-2072
Mailing Address - Country:US
Mailing Address - Phone:936-537-0320
Mailing Address - Fax:
Practice Address - Street 1:9595 SIX PINES DR STE 8210
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1642
Practice Address - Country:US
Practice Address - Phone:281-748-0233
Practice Address - Fax:281-298-6256
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65231101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX65231OtherLPC -TX.ST. BD. OF EXAMINERS