Healthcare Provider Details

I. General information

NPI: 1538448162
Provider Name (Legal Business Name): VALERIE KUYKENDALL-ROGERS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2011
Last Update Date: 09/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3880 GREENHOUSE RD SUITE 412
HOUSTON TX
77084-6792
US

IV. Provider business mailing address

1795 N FRY RD SUITE 205
KATY TX
77449-3347
US

V. Phone/Fax

Practice location:
  • Phone: 832-418-2479
  • Fax: 888-462-7208
Mailing address:
  • Phone: 832-418-2479
  • Fax: 888-462-7208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number16445
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: