Healthcare Provider Details

I. General information

NPI: 1265660690
Provider Name (Legal Business Name): LOUIS PASCHE IV LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: CHIP PASCHE LPC

II. Dates (important events)

Enumeration Date: 06/24/2009
Last Update Date: 10/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 HOUSTON ST
TOMBALL TX
77375
US

IV. Provider business mailing address

111 HOUSTON ST
TOMBALL TX
77375
US

V. Phone/Fax

Practice location:
  • Phone: 281-255-9922
  • Fax: 281-255-9922
Mailing address:
  • Phone: 281-255-9922
  • Fax: 281-255-9064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number65013
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: