Provider Demographics
NPI:1457147159
Name:HUSTON, ARDEN
Entity type:Individual
Prefix:
First Name:ARDEN
Middle Name:
Last Name:HUSTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 AMESBURY DR APT 224
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-4309
Mailing Address - Country:US
Mailing Address - Phone:832-738-7938
Mailing Address - Fax:
Practice Address - Street 1:1425 GREENWAY DR
Practice Address - Street 2:SUITE 360
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038
Practice Address - Country:US
Practice Address - Phone:972-421-8130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional