Provider Demographics
NPI:1669870499
Name:DANESHVAR, AREZOO (LPC)
Entity type:Individual
Prefix:
First Name:AREZOO
Middle Name:
Last Name:DANESHVAR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:AREZOO
Other - Middle Name:
Other - Last Name:BORMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14900 MEMORIAL DR APT 302
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-4063
Mailing Address - Country:US
Mailing Address - Phone:832-475-2107
Mailing Address - Fax:
Practice Address - Street 1:14900 MEMORIAL DR APT 302
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-4063
Practice Address - Country:US
Practice Address - Phone:832-475-2107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-10
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69907101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1669870499OtherNPI