Provider Demographics
NPI:1710720909
Name:MAHOTIERE, MARGARETTE (LCSW)
Entity type:Individual
Prefix:DR
First Name:MARGARETTE
Middle Name:
Last Name:MAHOTIERE
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:DR
Other - First Name:MARGARETTE
Other - Middle Name:
Other - Last Name:MAHOTIERE-LUTZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:11821 EAST FWY STE 320
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77029-1975
Mailing Address - Country:US
Mailing Address - Phone:713-543-0904
Mailing Address - Fax:813-804-9553
Practice Address - Street 1:11821 EAST FWY STE 320
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-1975
Practice Address - Country:US
Practice Address - Phone:713-543-0904
Practice Address - Fax:813-804-9553
Is Sole Proprietor?:No
Enumeration Date:2024-06-14
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW230411041C0700X
TX1136191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3933749-01Medicaid
TX3933749-02Medicaid