Provider Demographics
NPI:1952483125
Name:HERMAN, ERNEST (LPC & LMFT)
Entity Type:Individual
Prefix:MR
First Name:ERNEST
Middle Name:
Last Name:HERMAN
Suffix:
Gender:M
Credentials:LPC & LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 KINGS ROW
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76209-1236
Mailing Address - Country:US
Mailing Address - Phone:940-566-2507
Mailing Address - Fax:940-566-2507
Practice Address - Street 1:919 S CARROLL BLVD
Practice Address - Street 2:102
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-6869
Practice Address - Country:US
Practice Address - Phone:940-566-0367
Practice Address - Fax:940-566-2507
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11441101YP2500X
TX003353003484106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist