Provider Demographics
NPI:1417799206
Name:HERRERA, ANA IVETTE (LMSW)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:IVETTE
Last Name:HERRERA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3502 AFTON FOREST LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-4768
Mailing Address - Country:US
Mailing Address - Phone:347-805-1645
Mailing Address - Fax:
Practice Address - Street 1:3502 AFTON FOREST LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-4768
Practice Address - Country:US
Practice Address - Phone:347-805-1645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-11
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113119104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker