Healthcare Provider Details

I. General information

NPI: 1528717055
Provider Name (Legal Business Name): LORENA HOJMAN DAVIS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 03/22/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4118 GARROTT ST APT 2
HOUSTON TX
77006-5662
US

IV. Provider business mailing address

4118 GARROTT ST APT 2
HOUSTON TX
77006-5662
US

V. Phone/Fax

Practice location:
  • Phone: 832-535-5734
  • Fax:
Mailing address:
  • Phone: 832-535-5734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number82826
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: