Provider Demographics
NPI:1013067552
Name:HERSHKOWITZ, CAROL (MED,LPC,LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:
Last Name:HERSHKOWITZ
Suffix:
Gender:F
Credentials:MED,LPC,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10701 CORPORATE DR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4096
Mailing Address - Country:US
Mailing Address - Phone:281-240-0777
Mailing Address - Fax:282-494-4307
Practice Address - Street 1:10701 CORPORATE DR
Practice Address - Street 2:SUITE 220
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4096
Practice Address - Country:US
Practice Address - Phone:281-240-0777
Practice Address - Fax:281-494-4307
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000144101YM0800X
TX9725101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional