Provider Demographics
NPI:1154587137
Name:GREER, MALCOLM BRENT (LPC)
Entity type:Individual
Prefix:MR
First Name:MALCOLM
Middle Name:BRENT
Last Name:GREER
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 1:523 GATESHIP DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-5585
Mailing Address - Country:US
Mailing Address - Phone:281-851-0553
Mailing Address - Fax:
Practice Address - Street 1:523 GATESHIP DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-5585
Practice Address - Country:US
Practice Address - Phone:281-851-0553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17909101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX152617001Medicaid