Provider Demographics
NPI:1295261055
Name:PERSAUD, NAFEIZA (MS, LPC, LCDC)
Entity type:Individual
Prefix:MRS
First Name:NAFEIZA
Middle Name:
Last Name:PERSAUD
Suffix:
Gender:F
Credentials:MS, LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25301 BOROUGH PARK DR STE 125
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3567
Mailing Address - Country:US
Mailing Address - Phone:281-235-2068
Mailing Address - Fax:
Practice Address - Street 1:25301 BOROUGH PARK DR STE 125
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380
Practice Address - Country:US
Practice Address - Phone:281-235-2068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73217101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional