Individual
ANEIKA PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC-S, LCDC
Contact information
Practice address
11999 KATY FWY STE 150R, HOUSTON, TX 77079-1604
(713) 702-4747
(832) 698-9555
Mailing address
PO BOX 840104, HOUSTON, TX 77284-0104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12371
TX
101YP2500X
Professional Counselor
Primary
69319
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330534404
—
TX
Enumeration date
03/19/2014
Last updated
12/05/2020
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