Provider Demographics
NPI:1780415307
Name:SCHUTTE, MYLES (LPC)
Entity type:Individual
Prefix:
First Name:MYLES
Middle Name:
Last Name:SCHUTTE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21246 TRUMPET LILY TRL
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-3202
Mailing Address - Country:US
Mailing Address - Phone:832-248-4725
Mailing Address - Fax:
Practice Address - Street 1:2947 BROADWAY ST STE 100
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-9500
Practice Address - Country:US
Practice Address - Phone:346-302-8089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80476101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health