Healthcare Provider Details

I. General information

NPI: 1285114454
Provider Name (Legal Business Name): PSYCH MATTERS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2018
Last Update Date: 03/01/2022
Certification Date: 03/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 WOODWAY DR STE 306W
HOUSTON TX
77056-1828
US

IV. Provider business mailing address

4801 WOODWAY DR STE 306W
HOUSTON TX
77056-1828
US

V. Phone/Fax

Practice location:
  • Phone: 832-225-3345
  • Fax:
Mailing address:
  • Phone: 832-225-3345
  • Fax: 713-583-1504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANDREW MATTERN
Title or Position: OWNER
Credential: LPC
Phone: 832-439-6320