Provider Demographics
NPI:1689307399
Name:THE LOU AGENCY PLLC
Entity Type:Organization
Organization Name:THE LOU AGENCY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRYSTLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CUMBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-334-3218
Mailing Address - Street 1:4909 PENINSULA WAY APT 3305
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-4242
Mailing Address - Country:US
Mailing Address - Phone:214-991-8495
Mailing Address - Fax:
Practice Address - Street 1:4909 PENINSULA WAY APT 3305
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-4242
Practice Address - Country:US
Practice Address - Phone:469-334-3218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-08
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty