Provider Demographics
NPI:1831228337
Name:FLORES, LUIS ENRIQUE (MA, LPC)
Entity type:Individual
Prefix:MR
First Name:LUIS
Middle Name:ENRIQUE
Last Name:FLORES
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3106 JOHN STEINBECK CT
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-1968
Mailing Address - Country:US
Mailing Address - Phone:956-717-3733
Mailing Address - Fax:956-725-3166
Practice Address - Street 1:800 E MANN RD
Practice Address - Street 2:SUITE 201
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2666
Practice Address - Country:US
Practice Address - Phone:956-717-3733
Practice Address - Fax:956-725-3166
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1318101YA0400X
TX15844101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health