Provider Demographics
NPI:1801786157
Name:GONZALEZ, ROBERTA (LPC-A)
Entity type:Individual
Prefix:
First Name:ROBERTA
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8431 KATY FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1931
Mailing Address - Country:US
Mailing Address - Phone:713-955-4302
Mailing Address - Fax:281-937-4254
Practice Address - Street 1:8431 KATY FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1931
Practice Address - Country:US
Practice Address - Phone:713-955-4302
Practice Address - Fax:281-937-4254
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99267101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health