Provider Demographics
NPI:1154170462
Name:FLORES, SOPHIA ALEXIS (LPC-ASSOCIATE)
Entity type:Individual
Prefix:MRS
First Name:SOPHIA
Middle Name:ALEXIS
Last Name:FLORES
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 WAGON TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78573-3970
Mailing Address - Country:US
Mailing Address - Phone:956-833-2113
Mailing Address - Fax:
Practice Address - Street 1:225 WAGON TRAIL RD
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78573-3970
Practice Address - Country:US
Practice Address - Phone:956-833-2113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93010101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty