Provider Demographics
NPI:1558977611
Name:LOMAX, MICHELLE B (LPC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:B
Last Name:LOMAX
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 1:8910 DEERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-4818
Mailing Address - Country:US
Mailing Address - Phone:469-684-1471
Mailing Address - Fax:
Practice Address - Street 1:8910 DEERWOOD DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-4818
Practice Address - Country:US
Practice Address - Phone:469-684-1471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76444101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health