MEDICARE: LAWRENCE STORY LMSW, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	13567	TX
2	106H00000X	Marriage & Family Therapist	4347	TX

General Provider Information

NPI Number	:	1285780098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAWRENCE STORY LMSW, LMFT

Provider Business Mailing Address
First Line	:	25310 PINEY BEND CT
Second Line	:	30903 QUINN ROAD
City	:	SPRING
State	:	TX
Zip	:	77389-3583
Country	:	US
Telephone Number	:	281-914-1013
Fax Number	:	281-351-1357

Provider Business Practice Location Address
First Line	:	25310 PINEY BEND CT
Second Line	:	30903 QUINN ROAD
City	:	SPRING
State	:	TX
Zip	:	77389-3583
Country	:	US
Telephone Number	:	281-914-1013
Fax Number	:	281-351-1357

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	09/11/2025

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