Provider Demographics
NPI:1245096452
Name:MATTHEWS, KATREASE DONELLE (MED, LPC- ASSOCIATE)
Entity type:Individual
Prefix:
First Name:KATREASE
Middle Name:DONELLE
Last Name:MATTHEWS
Suffix:
Gender:
Credentials:MED, LPC- ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6767 LONG DR APT 194
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77087-3467
Mailing Address - Country:US
Mailing Address - Phone:713-514-3525
Mailing Address - Fax:832-559-7284
Practice Address - Street 1:14405 WALTERS RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1337
Practice Address - Country:US
Practice Address - Phone:832-559-7520
Practice Address - Fax:832-559-7284
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93880101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional