Provider Demographics
NPI:1336265776
Name:SANDERSON-LOPEZ, ALAINA (LPC)
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:
Last Name:SANDERSON-LOPEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ALAINA
Other - Middle Name:
Other - Last Name:SANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6640 LONG POINT RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-2633
Mailing Address - Country:US
Mailing Address - Phone:713-686-9194
Mailing Address - Fax:713-686-9413
Practice Address - Street 1:4855 RIVERSTONE BLVD STE 102
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4378
Practice Address - Country:US
Practice Address - Phone:832-656-8058
Practice Address - Fax:832-431-3969
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20096101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health