Healthcare Provider Details

I. General information

NPI: 1255154639
Provider Name (Legal Business Name): ROHANNA SYKES LPC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2024
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 NORTH LOOP W STE 500
HOUSTON TX
77092-8826
US

IV. Provider business mailing address

2900 NORTH LOOP W STE 500
HOUSTON TX
77092-8826
US

V. Phone/Fax

Practice location:
  • Phone: 713-487-6005
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number66474
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: