Provider Demographics
NPI:1275391989
Name:KING, KATIE GUADALUPE (LPC-A)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:GUADALUPE
Last Name:KING
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 E FM 528 RD STE 208
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5763
Mailing Address - Country:US
Mailing Address - Phone:832-390-0616
Mailing Address - Fax:
Practice Address - Street 1:3800 E FM 528 RD STE 208
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5763
Practice Address - Country:US
Practice Address - Phone:832-390-0616
Practice Address - Fax:346-299-6522
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-07
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90699101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health