Provider Demographics
NPI:1386905065
Name:BOGGS, HAROLD H (LMFT, LCDC)
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:H
Last Name:BOGGS
Suffix:
Gender:M
Credentials:LMFT, LCDC
Other - Prefix:
Other - First Name:H
Other - Middle Name:HAVEN
Other - Last Name:BOGGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, LMFT, CADC
Mailing Address - Street 1:2307 GLENN LAKES LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4438
Mailing Address - Country:US
Mailing Address - Phone:281-979-0996
Mailing Address - Fax:
Practice Address - Street 1:6140 HIGHWAY 6
Practice Address - Street 2:SUITE 260
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3802
Practice Address - Country:US
Practice Address - Phone:971-223-3885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-30
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201531106H00000X
TX11126101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)