Provider Demographics
NPI:1548687858
Name:KINCH ROSS, LAMONICA (LPC-S)
Entity type:Individual
Prefix:
First Name:LAMONICA
Middle Name:
Last Name:KINCH ROSS
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:LAMONICA
Other - Middle Name:MICHELE
Other - Last Name:HALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAMONICA KINCH, LPC
Mailing Address - Street 1:11200 FUQUA ST # 100-238
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-2568
Mailing Address - Country:US
Mailing Address - Phone:346-808-1913
Mailing Address - Fax:346-202-0717
Practice Address - Street 1:11218 HALL PINES CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77075-1407
Practice Address - Country:US
Practice Address - Phone:713-870-0003
Practice Address - Fax:346-202-0717
Is Sole Proprietor?:No
Enumeration Date:2014-03-25
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68976101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional