Provider Demographics
NPI:1427923416
Name:LOCK, VIVIANE PEREIRA (MED, LPC, NCC)
Entity type:Individual
Prefix:
First Name:VIVIANE
Middle Name:PEREIRA
Last Name:LOCK
Suffix:
Gender:F
Credentials:MED, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26814 ELLIS HILL CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4220
Mailing Address - Country:US
Mailing Address - Phone:713-446-1678
Mailing Address - Fax:
Practice Address - Street 1:25145 STAR LN STE 305
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7087
Practice Address - Country:US
Practice Address - Phone:346-440-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93335101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty