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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACKIETHSHA FLUELLEN-LAKE
NPI 1265340517
Counselor - Professional in Houston, TX

Active since August 28, 2026
3730 KIRBY DR STE 904, HOUSTON, TX 77098(832) 484-2635 Get Directions Write a Review

NPPES record added: August 28, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jackiethsha Fluellen-lake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIETHSHA FLUELLEN-LAKE (NPI 1265340517) is an individual professional provider in Houston, Texas, licensed in Texas (95829) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1265340517
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACKIETHSHA FLUELLEN-LAKE
Location Address3730 KIRBY DR STE 904Houston, TX 77098-3994
Mailing Address3730 Kirby Dr Ste 904Houston, TX 77098-3994 · (832) 484-2635
Phone(832) 484-2635
Sole ProprietorYes
Enumeration DateAugust 28, 2026
NPPES CertifiedAugust 28, 2026
✔ NPI 1265340517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 95829
3730 KIRBY DR STE 904, Houston, TX 77098
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONTOREA RENEE THOMAS LMSW
Social Worker (Clinical)
3730 KIRBY DR STE 904
HOUSTON, TX 77098
Harris County (832) 303-1520
AKALITA ROSS PH.D.
Psychologist (Clinical)
3730 KIRBY DR STE 904
HOUSTON, TX 77098
Harris County (281) 876-7985
LORENA NAVA LCDC
Counselor (Addiction (Substance Use Disorder))
3730 KIRBY DR STE 904
HOUSTON, TX 77098
Harris County (832) 484-2635
BLANCA MALDONADO-STEVENS LPC
Counselor (Professional)
3730 KIRBY DR STE 904
HOUSTON, TX 77098
Harris County (832) 484-2635
JALEESIA ROSEMOND LPC
Counselor (Professional)
3730 KIRBY DR STE 904
HOUSTON, TX 77098
Harris County (832) 484-2635
FREDDY VIAFARA LPC
Counselor (Professional)
3730 KIRBY DR STE 904
HOUSTON, TX 77098
Harris County (832) 484-2635
MORGAN BRITTANY DRAPER LPC
Counselor (Professional)
3730 KIRBY DR STE 904
HOUSTON, TX 77098
Harris County (832) 484-2635
VALERIE DARICE JACKSON PH D
Psychologist (Clinical)
3730 KIRBY DR STE 904
HOUSTON, TX 77098
Harris County (832) 484-2635

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackiethsha Fluellen-lake's NPI number?

The NPI number for Jackiethsha Fluellen-lake is 1265340517. It was assigned to this individual provider in the NPPES registry on August 28, 2026.

Where is Jackiethsha Fluellen-lake located?

Jackiethsha Fluellen-lake practices at 3730 Kirby Dr Ste 904, Houston, TX 77098. The listed phone number is (832) 484-2635.

What is Jackiethsha Fluellen-lake's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jackiethsha Fluellen-lake was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.