Provider Demographics
NPI:1194958678
Name:COUGER, GREGORY STUART I (LPC)
Entity type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:STUART
Last Name:COUGER
Suffix:I
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 1:5262 FM 1624
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:78947-5280
Mailing Address - Country:US
Mailing Address - Phone:817-235-0607
Mailing Address - Fax:
Practice Address - Street 1:24891 HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:TX
Practice Address - Zip Code:77445-7747
Practice Address - Country:US
Practice Address - Phone:800-869-8552
Practice Address - Fax:713-869-8564
Is Sole Proprietor?:No
Enumeration Date:2009-08-31
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60395101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health