Provider Demographics
NPI:1831734698
Name:DANGERFIELD, MICHAEL D (LPC, NCC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:D
Last Name:DANGERFIELD
Suffix:
Gender:M
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9100 SOUTHWEST FWY STE 150C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1584
Mailing Address - Country:US
Mailing Address - Phone:832-452-1604
Mailing Address - Fax:877-325-2694
Practice Address - Street 1:9100 SOUTHWEST FWY STE 150C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1584
Practice Address - Country:US
Practice Address - Phone:832-841-8082
Practice Address - Fax:877-325-2694
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-15
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78778101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional