Provider Demographics
NPI:1669503702
Name:SPATES, EASTER MILLETTE (MED, LPC)
Entity type:Individual
Prefix:MS
First Name:EASTER
Middle Name:MILLETTE
Last Name:SPATES
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14504 BRIAR FOREST DR
Mailing Address - Street 2:# 226
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-1769
Mailing Address - Country:US
Mailing Address - Phone:832-419-2235
Mailing Address - Fax:713-665-1171
Practice Address - Street 1:14504 BRIAR FOREST DR
Practice Address - Street 2:# 226
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-1769
Practice Address - Country:US
Practice Address - Phone:832-419-2235
Practice Address - Fax:713-665-1171
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17636101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional