Healthcare Provider Details

I. General information

NPI: 1548758048
Provider Name (Legal Business Name): ZOE L INGALLS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ZOE M ROBINSON LCSW

II. Dates (important events)

Enumeration Date: 04/30/2018
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 WOODFOREST PKWY N STE 250-432
MONTGOMERY TX
77316-6501
US

IV. Provider business mailing address

2300 WOODFOREST PKWY N STE 250-432
MONTGOMERY TX
77316-6501
US

V. Phone/Fax

Practice location:
  • Phone: 936-220-1383
  • Fax: 713-583-7244
Mailing address:
  • Phone: 936-213-0459
  • Fax: 713-583-7244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number30156
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: