Provider Demographics
NPI:1962449546
Name:PRESLEY, LOUISE RIBEIRO (LCSW, PHD)
Entity Type:Individual
Prefix:MS
First Name:LOUISE
Middle Name:RIBEIRO
Last Name:PRESLEY
Suffix:
Gender:F
Credentials:LCSW, PHD
Other - Prefix:MS
Other - First Name:LOUISE
Other - Middle Name:
Other - Last Name:KERLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, CSW
Mailing Address - Street 1:1616 JANE DR
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77502-2818
Mailing Address - Country:US
Mailing Address - Phone:734-308-6249
Mailing Address - Fax:
Practice Address - Street 1:18091 UPPER BAY ROAD.
Practice Address - Street 2:#27
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058
Practice Address - Country:US
Practice Address - Phone:734-308-6249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2014-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX557021041C0700X
IL1490120711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
324627Medicare PIN