Provider Demographics
NPI:1679452288
Name:GONZALES-PORRAS, KRYSTA NICOLE (LPC- ASSOCIATE)
Entity type:Individual
Prefix:
First Name:KRYSTA
Middle Name:NICOLE
Last Name:GONZALES-PORRAS
Suffix:
Gender:F
Credentials:LPC- ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12718 AUTUMN GLEN DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7362
Mailing Address - Country:US
Mailing Address - Phone:915-500-9366
Mailing Address - Fax:
Practice Address - Street 1:16225 PART TEN PL
Practice Address - Street 2:SUITE 870
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084
Practice Address - Country:US
Practice Address - Phone:713-489-8607
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99318101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health