=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124284385
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARILYN M DENHAM LPC, LMFT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/06/2008
-----------------------------------------------------
Last Update Date | 08/14/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4200 WESTHEIMER RD SUITE 233
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77027-4415
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-963-0233
-----------------------------------------------------
Fax | 713-840-8959
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4100 WESTHEIMER RD SUITE 233
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77027-4400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-963-0233
-----------------------------------------------------
Fax | 713-840-8959
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 11326
-----------------------------------------------------
License Number State |
-----------------------------------------------------