Provider Demographics
NPI:1285780098
Name:STORY, LAWRENCE (LMSW, LMFT)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:
Last Name:STORY
Suffix:
Gender:M
Credentials:LMSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25310 PINEY BEND CT
Mailing Address - Street 2:30903 QUINN ROAD
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-3583
Mailing Address - Country:US
Mailing Address - Phone:281-914-1013
Mailing Address - Fax:281-351-1357
Practice Address - Street 1:25310 PINEY BEND CT
Practice Address - Street 2:30903 QUINN ROAD
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-3583
Practice Address - Country:US
Practice Address - Phone:281-914-1013
Practice Address - Fax:281-351-1357
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX135671041C0700X
TX4347106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist