Provider Demographics
NPI:1265982730
Name:PRESTON, LOUISE (LPC)
Entity type:Individual
Prefix:MISS
First Name:LOUISE
Middle Name:
Last Name:PRESTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 W WALNUT ST
Mailing Address - Street 2:APT A
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-8710
Mailing Address - Country:US
Mailing Address - Phone:469-335-2566
Mailing Address - Fax:
Practice Address - Street 1:2379 GUS THOMASSON RD STE 200
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-7102
Practice Address - Country:US
Practice Address - Phone:903-501-8032
Practice Address - Fax:903-582-7338
Is Sole Proprietor?:No
Enumeration Date:2016-10-09
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20156101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional