Healthcare Provider Details

I. General information

NPI: 1285780098
Provider Name (Legal Business Name): LAWRENCE STORY LMSW, LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25310 PINEY BEND CT 30903 QUINN ROAD
SPRING TX
77389-3583
US

IV. Provider business mailing address

25310 PINEY BEND CT 30903 QUINN ROAD
SPRING TX
77389-3583
US

V. Phone/Fax

Practice location:
  • Phone: 281-914-1013
  • Fax: 281-351-1357
Mailing address:
  • Phone: 281-914-1013
  • Fax: 281-351-1357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number13567
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4347
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: