Provider Demographics
NPI:1063237139
Name:LLORENTZ, KENDRA LASHEA (LPC, LCDC)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:LASHEA
Last Name:LLORENTZ
Suffix:
Gender:F
Credentials:LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6306 CAMBRIDGE GLEN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-3901
Mailing Address - Country:US
Mailing Address - Phone:832-423-4251
Mailing Address - Fax:
Practice Address - Street 1:6300 WEST LOOP S STE 110
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2919
Practice Address - Country:US
Practice Address - Phone:832-423-4251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12350101YA0400X
TX90506101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)