Provider Demographics
NPI:1801523576
Name:KHOZA, MPHATSO (LPC ASSOCIATE)
Entity type:Individual
Prefix:MR
First Name:MPHATSO
Middle Name:
Last Name:KHOZA
Suffix:
Gender:M
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 1:38 WOODMOOR PL
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77354-3312
Mailing Address - Country:US
Mailing Address - Phone:713-408-6968
Mailing Address - Fax:
Practice Address - Street 1:25511 BUDDE RD STE 2802
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2388
Practice Address - Country:US
Practice Address - Phone:713-574-6372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional