Provider Demographics
NPI:1700108628
Name:PARDO, VILMA (LPC)
Entity Type:Individual
Prefix:MS
First Name:VILMA
Middle Name:
Last Name:PARDO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:WILMA
Other - Middle Name:PARDO
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:12436 FM 1960 RD W # 159
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4809
Mailing Address - Country:US
Mailing Address - Phone:281-224-0513
Mailing Address - Fax:
Practice Address - Street 1:6300 WEST LOOP S STE 508
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2915
Practice Address - Country:US
Practice Address - Phone:281-224-0513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18210101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional