Provider Demographics
NPI:1568267953
Name:BURMEISTER, MICHELLINE
Entity type:Individual
Prefix:
First Name:MICHELLINE
Middle Name:
Last Name:BURMEISTER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25145 STAR LN STE 303
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7087
Mailing Address - Country:US
Mailing Address - Phone:281-984-3494
Mailing Address - Fax:
Practice Address - Street 1:25145 STAR LN STE 303
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7087
Practice Address - Country:US
Practice Address - Phone:281-984-3494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91434101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional