Provider Demographics
NPI:1659131647
Name:LAU, JOU HOU (PMHNP-BC)
Entity Type:Individual
Prefix:MR
First Name:JOU HOU
Middle Name:
Last Name:LAU
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5027 FILLMORE AVE APT 40
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311-5018
Mailing Address - Country:US
Mailing Address - Phone:301-717-3851
Mailing Address - Fax:
Practice Address - Street 1:5027 FILLMORE AVE APT 40
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-5018
Practice Address - Country:US
Practice Address - Phone:301-717-3851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024189763363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health