Provider Demographics
NPI:1295062495
Name:JOY ENIE BOURLAND, MARRIAGE AND FAMILY THERAPY PLLC
Entity type:Organization
Organization Name:JOY ENIE BOURLAND, MARRIAGE AND FAMILY THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE & FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:ENIE
Authorized Official - Last Name:BOURLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMFT, LPC
Authorized Official - Phone:281-813-0672
Mailing Address - Street 1:6718 PEBBLE BEACH DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-2443
Mailing Address - Country:US
Mailing Address - Phone:281-813-0672
Mailing Address - Fax:281-580-1375
Practice Address - Street 1:9950 CYPRESSWOOD DR
Practice Address - Street 2:SUITE 206
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3414
Practice Address - Country:US
Practice Address - Phone:281-813-0672
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60499101YP2500X
TX200894106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty