Provider Demographics
NPI:1831433127
Name:ANDRY, MEGAN BRIATA (M,A, LPC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:BRIATA
Last Name:ANDRY
Suffix:
Gender:F
Credentials:M,A, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 LUMBERDALE RD
Mailing Address - Street 2:SUITE 144
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-1517
Mailing Address - Country:US
Mailing Address - Phone:504-261-8862
Mailing Address - Fax:
Practice Address - Street 1:5801 LUMBERDALE RD
Practice Address - Street 2:SUITE 144
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-1517
Practice Address - Country:US
Practice Address - Phone:504-261-8862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-27
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63108101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor