Provider Demographics
NPI:1912421983
Name:DEMAS, GLENDA E (LPC)
Entity Type:Individual
Prefix:
First Name:GLENDA
Middle Name:E
Last Name:DEMAS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 SCARLET TRAIL CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5859
Mailing Address - Country:US
Mailing Address - Phone:832-291-8363
Mailing Address - Fax:
Practice Address - Street 1:7807 LONG POINT RD STE 215
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-3694
Practice Address - Country:US
Practice Address - Phone:832-291-8363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-01
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76696101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor