Provider Demographics
NPI:1558245530
Name:TIRADO, MARLYN ANNETTE (LPC)
Entity type:Individual
Prefix:
First Name:MARLYN
Middle Name:ANNETTE
Last Name:TIRADO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31701 REDBUD BLOSSOM LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1048
Mailing Address - Country:US
Mailing Address - Phone:832-517-1011
Mailing Address - Fax:
Practice Address - Street 1:31701 REDBUD BLOSSOM LN
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-1048
Practice Address - Country:US
Practice Address - Phone:832-517-1011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88669101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health