Provider Demographics
NPI:1447974993
Name:BROUGH, EUNICE SARAI (LPC)
Entity type:Individual
Prefix:
First Name:EUNICE
Middle Name:SARAI
Last Name:BROUGH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:EUNICE
Other - Middle Name:SARAI
Other - Last Name:SANTANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4514 BENNING DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-6006
Mailing Address - Country:US
Mailing Address - Phone:956-360-9228
Mailing Address - Fax:
Practice Address - Street 1:4514 BENNING DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-6006
Practice Address - Country:US
Practice Address - Phone:956-360-9228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82317101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health