Provider Demographics
NPI:1689399263
Name:NOEL, MARTIN PATRICK (LMFT ASSOC #203823)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:PATRICK
Last Name:NOEL
Suffix:
Gender:M
Credentials:LMFT ASSOC #203823
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 BIG SKY
Mailing Address - Street 2:
Mailing Address - City:BURNET
Mailing Address - State:TX
Mailing Address - Zip Code:78611-3692
Mailing Address - Country:US
Mailing Address - Phone:512-567-4269
Mailing Address - Fax:
Practice Address - Street 1:608 GATEWAY CENTRAL STE 200
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-6356
Practice Address - Country:US
Practice Address - Phone:512-567-4269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203823106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist