Provider Demographics
NPI:1689875023
Name:PISTORIUS, KINSEY DROUET (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:KINSEY
Middle Name:DROUET
Last Name:PISTORIUS
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10551 MILLS RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4601
Mailing Address - Country:US
Mailing Address - Phone:832-729-1111
Mailing Address - Fax:832-604-6733
Practice Address - Street 1:10551 MILLS RD
Practice Address - Street 2:SUITE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4601
Practice Address - Country:US
Practice Address - Phone:832-729-1111
Practice Address - Fax:832-604-6733
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5036106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist