Provider Demographics
NPI:1710104377
Name:MARY MORIN AND ASSOCIATES
Entity Type:Organization
Organization Name:MARY MORIN AND ASSOCIATES
Other - Org Name:CORNERSTONE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:MORIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:281-890-3979
Mailing Address - Street 1:17200 SH 249
Mailing Address - Street 2:#240
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064
Mailing Address - Country:US
Mailing Address - Phone:281-890-3979
Mailing Address - Fax:281-890-3978
Practice Address - Street 1:17200 SH 249
Practice Address - Street 2:#240
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064
Practice Address - Country:US
Practice Address - Phone:281-890-3979
Practice Address - Fax:281-890-3978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX08701101YP2500X
TX#967103T00000X
TXLPC-#08701106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty