Provider Demographics
NPI:1356921191
Name:LASKOWSKI, ANDREA N (LMFT)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:N
Last Name:LASKOWSKI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:N
Other - Last Name:BARGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:10211 CLUBHOUSE CIR
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-6937
Mailing Address - Country:US
Mailing Address - Phone:346-573-4449
Mailing Address - Fax:
Practice Address - Street 1:10211 CLUBHOUSE CIR
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-6937
Practice Address - Country:US
Practice Address - Phone:346-573-4449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-14
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82921101YP2500X
TX203574106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX203574OtherTEXAS STATE BOARD OF EXAMINERS OF MARRIAGE AND FAMILY THERAPISTS
TX82921OtherTEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS