Provider Demographics
NPI:1164256392
Name:AGUILAR, MANUELA (LPC)
Entity type:Individual
Prefix:
First Name:MANUELA
Middle Name:
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7614 WOODHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182-9212
Mailing Address - Country:US
Mailing Address - Phone:817-455-8180
Mailing Address - Fax:
Practice Address - Street 1:7614 WOODHAVEN DR
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76182-9212
Practice Address - Country:US
Practice Address - Phone:817-455-8180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84073101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health