Provider Demographics
NPI:1841770526
Name:LOUIE, MARK E (EDD, LMHC, LPC)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:E
Last Name:LOUIE
Suffix:
Gender:M
Credentials:EDD, LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33-07 RYAN RD
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-4607
Mailing Address - Country:US
Mailing Address - Phone:201-310-1028
Mailing Address - Fax:
Practice Address - Street 1:33-07 RYAN RD
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-4607
Practice Address - Country:US
Practice Address - Phone:201-310-1028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-21
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007686101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty