Provider Demographics
NPI:1699071852
Name:TAPIA, ANDRES (LPC)
Entity type:Individual
Prefix:
First Name:ANDRES
Middle Name:
Last Name:TAPIA
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5858 WESTHEIMER RD STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-5643
Mailing Address - Country:US
Mailing Address - Phone:713-487-9310
Mailing Address - Fax:713-489-1719
Practice Address - Street 1:5858 WESTHEIMER RD STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-5643
Practice Address - Country:US
Practice Address - Phone:713-487-9310
Practice Address - Fax:713-489-1719
Is Sole Proprietor?:No
Enumeration Date:2011-02-07
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65233101YP2500X
TX37760103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX138708611Medicaid
TX138708610Medicaid
TX138708601Medicaid