Provider Demographics
NPI:1477934305
Name:BACHMAN, MICHELE LAURINE (LPC)
Entity Type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:LAURINE
Last Name:BACHMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2102 VERDE VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-6495
Mailing Address - Country:US
Mailing Address - Phone:832-819-1492
Mailing Address - Fax:
Practice Address - Street 1:1100 NASA PKWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3325
Practice Address - Country:US
Practice Address - Phone:832-819-1492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70242101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional