Provider Demographics
NPI:1285071837
Name:HENSCHEID, KODIE (LPC)
Entity type:Individual
Prefix:MRS
First Name:KODIE
Middle Name:
Last Name:HENSCHEID
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:KODIE
Other - Middle Name:
Other - Last Name:REDLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2002 HOLCOMBE BLVD
Mailing Address - Street 2:116MHCL
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4211
Mailing Address - Country:US
Mailing Address - Phone:713-791-1414
Mailing Address - Fax:713-794-7854
Practice Address - Street 1:2415 COIT RD
Practice Address - Street 2:SUITE B
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-3758
Practice Address - Country:US
Practice Address - Phone:972-596-7229
Practice Address - Fax:972-596-7410
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-22
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68305101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional