Provider Demographics
NPI:1205394327
Name:KHAN, HIBA (LCSW, LCDC)
Entity type:Individual
Prefix:
First Name:HIBA
Middle Name:
Last Name:KHAN
Suffix:
Gender:F
Credentials:LCSW, LCDC
Other - Prefix:
Other - First Name:HIBA
Other - Middle Name:KHAN
Other - Last Name:ROESER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:805 RICHMOND DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-6059
Mailing Address - Country:US
Mailing Address - Phone:469-748-7087
Mailing Address - Fax:
Practice Address - Street 1:980 S COIT RD APT 621
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-2995
Practice Address - Country:US
Practice Address - Phone:469-748-7087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-07
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16366101YA0400X
TX108749104100000X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX108749OtherTEXAS STATE BOARD OF SOCIAL WORK EXAMINERS
TX16366OtherTEXAS HEALTH AND HUMAN SERVICES