Provider Demographics
NPI:1184493108
Name:HUYNH, THINH PHAN (LPC)
Entity type:Individual
Prefix:
First Name:THINH
Middle Name:PHAN
Last Name:HUYNH
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14922 BIG SPRING PARK DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-4235
Mailing Address - Country:US
Mailing Address - Phone:346-634-7571
Mailing Address - Fax:
Practice Address - Street 1:12807 HAYNES RD UNIT C1
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77066-1124
Practice Address - Country:US
Practice Address - Phone:281-407-1309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-02
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91718101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional