Healthcare Provider Details

I. General information

NPI: 1487474136
Provider Name (Legal Business Name): KATHERINE ESQUIVEL LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2024
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4130 BELLAIRE BLVD UNIT 208
HOUSTON TX
77025
US

IV. Provider business mailing address

10718 THORNCLIFF DR
HUMBLE TX
77396-2477
US

V. Phone/Fax

Practice location:
  • Phone: 713-993-7030
  • Fax:
Mailing address:
  • Phone: 281-788-0301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number90147
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: