Provider Demographics
NPI:1134336878
Name:O'DOHERTY, DENISE (LPC, MSN, LMFT, LPC)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:
Last Name:O'DOHERTY
Suffix:
Gender:F
Credentials:LPC, MSN, LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3730 KIRBY DR STE 910
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3927
Mailing Address - Country:US
Mailing Address - Phone:713-524-9525
Mailing Address - Fax:713-862-9121
Practice Address - Street 1:5006 FLOYD ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-5326
Practice Address - Country:US
Practice Address - Phone:713-524-9525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX869101YA0400X
TX2421106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist