Provider Demographics
NPI:1659549533
Name:SINGH, MADHU BALA (MS LPC)
Entity Type:Individual
Prefix:MRS
First Name:MADHU
Middle Name:BALA
Last Name:SINGH
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21707 KINGSLAND BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-2518
Mailing Address - Country:US
Mailing Address - Phone:832-623-2500
Mailing Address - Fax:
Practice Address - Street 1:21707 KINGSLAND BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2518
Practice Address - Country:US
Practice Address - Phone:832-623-2500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-14
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63096101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health