Healthcare Provider Details

I. General information

NPI: 1033427661
Provider Name (Legal Business Name): DL PFISTER & ASSOCIATES COUNSLING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2010
Last Update Date: 08/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13100 WORTHAM CENTER DR SUITE 240
HOUSTON TX
77065-5625
US

IV. Provider business mailing address

13100 WORTHAM CENTER DR SUITE 240
HOUSTON TX
77065-5625
US

V. Phone/Fax

Practice location:
  • Phone: 832-688-9747
  • Fax:
Mailing address:
  • Phone: 832-688-9747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number63942
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number10925
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number66310
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number34133
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number19426
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number50064
License Number StateTX
# 7
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number62147
License Number StateTX
# 8
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number36214
License Number StateTX
# 9
Primary TaxonomyN
Taxonomy Code103TP0016X
TaxonomyPrescribing (Medical) Psychologist
License NumberP2767
License Number StateTX
# 10
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number201426
License Number StateTX

VIII. Authorized Official

Name: DENISE PFISTER
Title or Position: MANAGING MEMBER
Credential: MS, LMFT
Phone: 832-688-9747