Provider Demographics
NPI:1548028392
Name:PUROHIT, NIYATI (LCSW)
Entity type:Individual
Prefix:MRS
First Name:NIYATI
Middle Name:
Last Name:PUROHIT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:NIYA
Other - Middle Name:
Other - Last Name:PUROHIT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:4504 LA BRANCH ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-4925
Mailing Address - Country:US
Mailing Address - Phone:832-265-0234
Mailing Address - Fax:
Practice Address - Street 1:4504 LA BRANCH ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-4925
Practice Address - Country:US
Practice Address - Phone:832-265-0234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX565981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical