Provider Demographics
NPI:1124834221
Name:FLORES, ADRIANA (LPC)
Entity type:Individual
Prefix:MRS
First Name:ADRIANA
Middle Name:
Last Name:FLORES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 BEACHMAN SHORE LN
Mailing Address - Street 2:
Mailing Address - City:LA PORTE
Mailing Address - State:TX
Mailing Address - Zip Code:77571-2007
Mailing Address - Country:US
Mailing Address - Phone:713-853-5663
Mailing Address - Fax:
Practice Address - Street 1:613 BEACHMAN SHORE LN
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:TX
Practice Address - Zip Code:77571-2007
Practice Address - Country:US
Practice Address - Phone:713-853-5663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89810101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional