Provider Demographics
NPI:1972661593
Name:GUILLORY, LOU A (LMSW LMFT LCDC)
Entity Type:Individual
Prefix:MRS
First Name:LOU
Middle Name:A
Last Name:GUILLORY
Suffix:
Gender:F
Credentials:LMSW LMFT LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4702 LABRANCH
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-5042
Mailing Address - Country:US
Mailing Address - Phone:713-528-7007
Mailing Address - Fax:713-529-5965
Practice Address - Street 1:4702 LABRANCH
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-5042
Practice Address - Country:US
Practice Address - Phone:713-528-7007
Practice Address - Fax:713-529-5965
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4054 LCDC101YA0400X
TXS19325 LMSW1041C0700X
TX001091 LMFT106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8003BHOtherBCBS