Provider Demographics
NPI:1649065673
Name:MALDONADO SUAREZ, BETTY (LPC)
Entity type:Individual
Prefix:
First Name:BETTY
Middle Name:
Last Name:MALDONADO SUAREZ
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3720 COLLEGE PARK DR APT 12108
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-4859
Mailing Address - Country:US
Mailing Address - Phone:720-402-0324
Mailing Address - Fax:
Practice Address - Street 1:3720 COLLEGE PARK DR APT 12108
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-4859
Practice Address - Country:US
Practice Address - Phone:720-402-0324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7800101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health