Provider Demographics
NPI:1487172730
Name:NOAH ENTEEN, LMFT CORPORATION
Entity type:Organization
Organization Name:NOAH ENTEEN, LMFT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST & OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NOAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:ENTEEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:512-790-4638
Mailing Address - Street 1:6806 SILVERMINE DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78736-1748
Mailing Address - Country:US
Mailing Address - Phone:512-790-4638
Mailing Address - Fax:
Practice Address - Street 1:4407 BEE CAVES RD STE 320
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6433
Practice Address - Country:US
Practice Address - Phone:512-790-4638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-07
Last Update Date:2017-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50798106H00000X
TX202647106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty