Provider Demographics
NPI:1649854977
Name:SOTO LEGGETT, MARIA ELSA (PHD, LPC-S, RPT-S)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ELSA
Last Name:SOTO LEGGETT
Suffix:
Gender:F
Credentials:PHD, LPC-S, RPT-S
Other - Prefix:DR
Other - First Name:M. ELSA
Other - Middle Name:SOTO
Other - Last Name:LEGGETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LPC-S, RPT-S
Mailing Address - Street 1:9002 CHIMNEY ROCK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-2598
Mailing Address - Country:US
Mailing Address - Phone:713-742-2178
Mailing Address - Fax:
Practice Address - Street 1:9002 CHIMNEY ROCK RD # G182
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-2598
Practice Address - Country:US
Practice Address - Phone:713-742-2178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-12
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19814101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX19814OtherMENTAL HEALTH COUNSELING