Provider Demographics
NPI:1619329059
Name:FOLLMAR, CARRIE SUE (LPC)
Entity Type:Individual
Prefix:MS
First Name:CARRIE
Middle Name:SUE
Last Name:FOLLMAR
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 1:14642 BERGENIA DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-7252
Mailing Address - Country:US
Mailing Address - Phone:713-213-3861
Mailing Address - Fax:
Practice Address - Street 1:14642 BERGENIA DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-7252
Practice Address - Country:US
Practice Address - Phone:713-213-3861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72608101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional