Provider Demographics
NPI:1841424686
Name:KOENIG, MARTI LEIGH (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARTI
Middle Name:LEIGH
Last Name:KOENIG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CAROLINA DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75402-6900
Mailing Address - Country:US
Mailing Address - Phone:903-268-5514
Mailing Address - Fax:
Practice Address - Street 1:8 CAROLINA DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75402-6900
Practice Address - Country:US
Practice Address - Phone:903-268-5514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61101101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health