Provider Demographics
NPI:1952064990
Name:SIMON, TREVOR (LPC)
Entity Type:Individual
Prefix:MRS
First Name:TREVOR
Middle Name:
Last Name:SIMON
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 1:1853 PEARLAND PKWY STE 123
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-8864
Mailing Address - Country:US
Mailing Address - Phone:281-916-8171
Mailing Address - Fax:
Practice Address - Street 1:1853 PEARLAND PKWY STE 123
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-8864
Practice Address - Country:US
Practice Address - Phone:281-916-8171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-18
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83819101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health