Provider Demographics
NPI:1447038716
Name:NGUYEN, PHUONG LE (MFT ASSOCIATE)
Entity type:Individual
Prefix:MRS
First Name:PHUONG
Middle Name:LE
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MFT ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6733 STELLA LINK RD STE 200
Mailing Address - Street 2:
Mailing Address - City:WEST UNIVERSITY PLACE
Mailing Address - State:TX
Mailing Address - Zip Code:77005-4348
Mailing Address - Country:US
Mailing Address - Phone:713-930-3211
Mailing Address - Fax:
Practice Address - Street 1:6733 STELLA LINK RD STE 200
Practice Address - Street 2:
Practice Address - City:WEST UNIVERSITY PLACE
Practice Address - State:TX
Practice Address - Zip Code:77005-4348
Practice Address - Country:US
Practice Address - Phone:713-930-3211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205205106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist