Provider Demographics
NPI:1528255205
Name:ISAAC, ANIKA (LPC, LCDC, NCC, CEAP)
Entity type:Individual
Prefix:MS
First Name:ANIKA
Middle Name:
Last Name:ISAAC
Suffix:
Gender:F
Credentials:LPC, LCDC, NCC, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2151 S KIRKWOOD RD
Mailing Address - Street 2:#248
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-6227
Mailing Address - Country:US
Mailing Address - Phone:832-545-2326
Mailing Address - Fax:713-602-3737
Practice Address - Street 1:2151 S KIRKWOOD RD
Practice Address - Street 2:#248
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6227
Practice Address - Country:US
Practice Address - Phone:832-545-2326
Practice Address - Fax:713-602-3737
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0040742101Y00000X
TX9697101YA0400X
TX218324101YM0800X
TX60874101YP2500X
TX200929106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist