Provider Demographics
NPI:1659148401
Name:STEINERT, MICHAEL S (MA, LPC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:S
Last Name:STEINERT
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 TRINITY DR
Mailing Address - Street 2:
Mailing Address - City:BENBROOK
Mailing Address - State:TX
Mailing Address - Zip Code:76126-4209
Mailing Address - Country:US
Mailing Address - Phone:972-342-4022
Mailing Address - Fax:972-342-4022
Practice Address - Street 1:1213 TRINITY DR
Practice Address - Street 2:
Practice Address - City:BENBROOK
Practice Address - State:TX
Practice Address - Zip Code:76126-4209
Practice Address - Country:US
Practice Address - Phone:972-342-4022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15858101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty