Provider Demographics
NPI:1306089453
Name:LEDBETTER, PETA-GAY CHEN (RN, LPC, PHD)
Entity type:Individual
Prefix:DR
First Name:PETA-GAY
Middle Name:CHEN
Last Name:LEDBETTER
Suffix:
Gender:F
Credentials:RN, LPC, PHD
Other - Prefix:
Other - First Name:PETA-GAY
Other - Middle Name:
Other - Last Name:RHINEHART
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:13810 CHAMPION FOREST DR
Mailing Address - Street 2:SUITE 146
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-1844
Mailing Address - Country:US
Mailing Address - Phone:281-444-9553
Mailing Address - Fax:281-444-9554
Practice Address - Street 1:13810 CHAMPION FOREST DR
Practice Address - Street 2:SUITE 146
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-1844
Practice Address - Country:US
Practice Address - Phone:281-444-9553
Practice Address - Fax:281-444-9554
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-18
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61519101YP2500X, 102L00000X, 103K00000X, 106H00000X, 101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty