Provider Demographics
NPI:1487328258
Name:SCHULTZ, MARY MUELLER (MS, LPC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:MUELLER
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:MS, LPC ASSOCIATE
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:ELIZABETH
Other - Last Name:MUELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC ASSOCIATE
Mailing Address - Street 1:9714 S GESSNER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-1004
Mailing Address - Country:US
Mailing Address - Phone:832-240-3024
Mailing Address - Fax:832-240-3026
Practice Address - Street 1:9714 S GESSNER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-1004
Practice Address - Country:US
Practice Address - Phone:832-240-3024
Practice Address - Fax:832-240-3026
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83055101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor