Provider Demographics
NPI:1386488906
Name:MUNOZ, ENRIQUE ANTONIO (LPC)
Entity type:Individual
Prefix:MR
First Name:ENRIQUE
Middle Name:ANTONIO
Last Name:MUNOZ
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 1:516 GOODWIN DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5601
Mailing Address - Country:US
Mailing Address - Phone:254-535-9434
Mailing Address - Fax:
Practice Address - Street 1:516 GOODWIN DR
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-5601
Practice Address - Country:US
Practice Address - Phone:254-535-9434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88624101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty