Provider Demographics
NPI:1730592064
Name:LYKKE, DEBRA (LPC)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:LYKKE
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 1:1511 UPLAND DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-4710
Mailing Address - Country:US
Mailing Address - Phone:713-935-9990
Mailing Address - Fax:713-464-5269
Practice Address - Street 1:1511 UPLAND DR
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-4710
Practice Address - Country:US
Practice Address - Phone:713-935-9990
Practice Address - Fax:713-464-5269
Is Sole Proprietor?:No
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62207101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional