Provider Demographics
NPI:1225333990
Name:DR. MARIE D. SENEGAL, LPC, LCDC, & ASSOCIATES
Entity Type:Organization
Organization Name:DR. MARIE D. SENEGAL, LPC, LCDC, & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:DINARD
Authorized Official - Last Name:SENEGAL
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LPC, LCDC
Authorized Official - Phone:713-498-8151
Mailing Address - Street 1:8303 SOUTHWEST FWY
Mailing Address - Street 2:SUITE # 250
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1600
Mailing Address - Country:US
Mailing Address - Phone:713-498-8151
Mailing Address - Fax:713-981-6544
Practice Address - Street 1:8303 SOUTHWEST FWY
Practice Address - Street 2:SUITE # 250
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1600
Practice Address - Country:US
Practice Address - Phone:713-498-8151
Practice Address - Fax:713-981-6544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11110101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX095304401Medicaid
TX155545OtherVALUE OPTIONS
10019898OtherAMERIGROUP
TX506637802OtherUNITED BEHAVIORAL HEALTH