MEDICARE: MRS. STEPHANIE R. FREY LPC, 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	106H00000X	Marriage & Family Therapist	200990	TX
2	101YM0800X	Mental Health Counselor	61077	TX

General Provider Information

NPI Number	:	1922277565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. STEPHANIE R. FREY LPC, LMFT

Provider Business Mailing Address
First Line	:	2525 ROBINHOOD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-2573
Country	:	US
Telephone Number	:	832-368-8765
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 ROBINHOOD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-2573
Country	:	US
Telephone Number	:	832-368-8765
Fax Number	:

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

Provider Enumeration Date	:	02/28/2008
Last Update Date	:	08/19/2024

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