MEDICARE: ELIZABETH SARAH STRELOW LMFT-A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	205232	TX

General Provider Information

NPI Number	:	1518732742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH SARAH STRELOW LMFT-A

Provider Business Mailing Address
First Line	:	4044 BELLEFONTAINE ST # TX77025
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-1103
Country	:	US
Telephone Number	:	281-702-4126
Fax Number	:

Provider Business Practice Location Address
First Line	:	4151 SOUTHWEST FWY STE 440
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-7306
Country	:	US
Telephone Number	:	281-702-4126
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2023
Last Update Date	:	11/17/2023

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