Provider Demographics
NPI:1265606792
Name:MEJIA, RICARDO ANTONIO (LMFT, AAC, LCDC, CPS)
Entity type:Individual
Prefix:MR
First Name:RICARDO
Middle Name:ANTONIO
Last Name:MEJIA
Suffix:
Gender:M
Credentials:LMFT, AAC, LCDC, CPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9525 KATY FWY
Mailing Address - Street 2:SUITE 424
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1407
Mailing Address - Country:US
Mailing Address - Phone:713-827-9600
Mailing Address - Fax:713-827-9601
Practice Address - Street 1:9525 KATY FWY
Practice Address - Street 2:SUITE 424
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1407
Practice Address - Country:US
Practice Address - Phone:713-827-9600
Practice Address - Fax:713-827-9601
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4400101YA0400X
TX4622106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)