Provider Demographics
NPI:1992819510
Name:AGRA, LOYD (LPC)
Entity type:Individual
Prefix:
First Name:LOYD
Middle Name:
Last Name:AGRA
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 1:11000 RICHMOND AVE
Mailing Address - Street 2:STE. 330
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4776
Mailing Address - Country:US
Mailing Address - Phone:713-400-7415
Mailing Address - Fax:713-974-0870
Practice Address - Street 1:11000 RICHMOND AVE
Practice Address - Street 2:STE. 330
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4776
Practice Address - Country:US
Practice Address - Phone:713-400-7415
Practice Address - Fax:713-974-0870
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15812101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145800202Medicaid