Provider Demographics
NPI:1457027153
Name:LAROE, ADRIENNE NEW (LMFT-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:NEW
Last Name:LAROE
Suffix:
Gender:F
Credentials:LMFT-ASSOCIATE
Other - Prefix:
Other - First Name:ADRIENNE
Other - Middle Name:LYNN
Other - Last Name:NEW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19211 TALL TREE TRL
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-7062
Mailing Address - Country:US
Mailing Address - Phone:346-367-5117
Mailing Address - Fax:
Practice Address - Street 1:2203 TIMBERLOCH PL STE 100
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1103
Practice Address - Country:US
Practice Address - Phone:346-367-5117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-22
Last Update Date:2021-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204079106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX804144902OtherOFFICE OF THE SECRETARY OF STATE, TEXAS