Provider Demographics
NPI:1235261132
Name:SIMBERG, ALAN (PHD LMFT LCDC ACN)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
Last Name:SIMBERG
Suffix:
Gender:M
Credentials:PHD LMFT LCDC ACN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 BRUN ST APT 1
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-5745
Mailing Address - Country:US
Mailing Address - Phone:281-785-0660
Mailing Address - Fax:
Practice Address - Street 1:1810 BRUN ST APT 1
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-5745
Practice Address - Country:US
Practice Address - Phone:281-785-0660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2023-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
TX5088106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health