Provider Demographics
NPI:1346675329
Name:HESTON, ANDREA E (MS LMFT)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:E
Last Name:HESTON
Suffix:
Gender:F
Credentials:MS LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15914 HAVENHURST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-5206
Mailing Address - Country:US
Mailing Address - Phone:469-796-1982
Mailing Address - Fax:
Practice Address - Street 1:17045 EL CAMINO REAL STE 211
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2644
Practice Address - Country:US
Practice Address - Phone:469-796-1982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-09
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202039106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist