Healthcare Provider Details

I. General information

NPI: 1356443824
Provider Name (Legal Business Name): M. ELIZABETH JETER LPC, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8203 WILLOW PLACE DR S SUITE 150
HOUSTON TX
77070-5655
US

IV. Provider business mailing address

8203 WILLOW PLACE DR S SUITE 150
HOUSTON TX
77070-5655
US

V. Phone/Fax

Practice location:
  • Phone: 281-955-5055
  • Fax: 281-897-0825
Mailing address:
  • Phone: 281-955-5055
  • Fax: 281-897-0825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1848
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: