Provider Demographics
NPI:1447550934
Name:MAHAN, MARGARET C (LPC)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:C
Last Name:MAHAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:PEGGY
Other - Middle Name:C
Other - Last Name:MAHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:5111 WESTERHAM PL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-2035
Mailing Address - Country:US
Mailing Address - Phone:281-961-0613
Mailing Address - Fax:
Practice Address - Street 1:5111 WESTERHAM PL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-2035
Practice Address - Country:US
Practice Address - Phone:281-961-0613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-30
Last Update Date:2010-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63579101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional