Spring Hill

Individual provider Active NPI Marriage & Family Therapist · The Woodlands, TX

NPI 1639845258 · NPPES record last updated Sep 11, 2021

Key facts

NPI
1639845258
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
200971 (TX)
Practice address
26110 Oak Ridge Dr
The Woodlands, TX 77380-1959
Phone
(713) 927-5093
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
200971TXMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 200971 TX Yes

Addresses

Primary practice location

26110 Oak Ridge Dr
The Woodlands, TX 77380-1959

Mailing address

7714 Dayhill Dr
Spring, TX 77379-8297
Phone (713) 927-5093

Other providers in The Woodlands, TX

All providers in The Woodlands, TX · Marriage & Family Therapist in Texas

Sources for this page

Verify at the official NPI Registry.