Provider Demographics
NPI:1356901276
Name:HUGHES, KERITE MERRISSA (LPC)
Entity type:Individual
Prefix:MRS
First Name:KERITE
Middle Name:MERRISSA
Last Name:HUGHES
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:PO BOX 681492
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77268-1492
Mailing Address - Country:US
Mailing Address - Phone:281-825-3830
Mailing Address - Fax:
Practice Address - Street 1:2219 SAWDUST RD STE 103
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2576
Practice Address - Country:US
Practice Address - Phone:936-213-3130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77888101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional