Provider Demographics
NPI:1285791095
Name:MCBRIDE, JOAN E (LMFT)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:E
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JOAN
Other - Middle Name:M
Other - Last Name:SMOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:150 W SHADOWBEND AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-3968
Mailing Address - Country:US
Mailing Address - Phone:281-482-6164
Mailing Address - Fax:281-576-9304
Practice Address - Street 1:150 W SHADOWBEND AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-3968
Practice Address - Country:US
Practice Address - Phone:281-482-6164
Practice Address - Fax:281-576-9304
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5213106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist