Healthcare Provider Details

I. General information

NPI: 1316757438
Provider Name (Legal Business Name): EMMA LAUREL GUINDON LPC-ASSOCIATE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2025
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18635 N ELDRIDGE PKWY STE 102
TOMBALL TX
77377-3063
US

IV. Provider business mailing address

1400 GRAHAM DR # 404B
TOMBALL TX
77375-4603
US

V. Phone/Fax

Practice location:
  • Phone: 281-892-9986
  • Fax:
Mailing address:
  • Phone: 208-691-2142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number97412
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: