Provider Demographics
NPI:1366475527
Name:PIETZ, MARION ELIZABETH (LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:MARION
Middle Name:ELIZABETH
Last Name:PIETZ
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 ROCKMEAD DR
Mailing Address - Street 2:SUITE 246
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2103
Mailing Address - Country:US
Mailing Address - Phone:713-217-4283
Mailing Address - Fax:281-359-3544
Practice Address - Street 1:700 ROCKMEAD DR
Practice Address - Street 2:SUITE 246
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2103
Practice Address - Country:US
Practice Address - Phone:713-217-4283
Practice Address - Fax:281-359-3544
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1933-0991101YA0400X
TX03036101YP2500X
TX1584106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist