Provider Demographics
NPI:1831537463
Name:LUTTON, NOELLE ELISE (LPC)
Entity type:Individual
Prefix:
First Name:NOELLE
Middle Name:ELISE
Last Name:LUTTON
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 1:3921 STECK AVE STE A105
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-8638
Mailing Address - Country:US
Mailing Address - Phone:210-621-4533
Mailing Address - Fax:
Practice Address - Street 1:3921 STECK AVE STE A105
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8638
Practice Address - Country:US
Practice Address - Phone:210-621-4533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67286101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional