Healthcare Provider Details

I. General information

NPI: 1164185872
Provider Name (Legal Business Name): KRISTEN SKOWRONSKI LMFT-ASSOCIATE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2021
Last Update Date: 10/19/2021
Certification Date: 10/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10655 SIX PINES DR STE 150
THE WOODLANDS TX
77380-3432
US

IV. Provider business mailing address

10655 SIX PINES DR STE 150
THE WOODLANDS TX
77380-3432
US

V. Phone/Fax

Practice location:
  • Phone: 346-370-0028
  • Fax:
Mailing address:
  • Phone: 346-370-0028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number204184
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: