Provider Demographics
NPI:1740080316
Name:PENA, ROLANDO (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:ROLANDO
Middle Name:
Last Name:PENA
Suffix:
Gender:
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 W TRI OAKS LN APT 114
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-4676
Mailing Address - Country:US
Mailing Address - Phone:832-652-0021
Mailing Address - Fax:
Practice Address - Street 1:2505 ALDINE MAIL ROUTE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77039-5601
Practice Address - Country:US
Practice Address - Phone:888-478-8432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89392101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health