MEDICARE: CECILIA ESTHER PUCZEK LMFT

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	203949	TX

General Provider Information

NPI Number	:	1679163026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CECILIA ESTHER PUCZEK LMFT

Provider Business Mailing Address
First Line	:	4519 ECHO FALLS DR
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77345-1051
Country	:	US
Telephone Number	:	832-445-7317
Fax Number	:

Provider Business Practice Location Address
First Line	:	1306 KINGWOOD DR STE E
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-3150
Country	:	US
Telephone Number	:	832-445-7317
Fax Number	:	832-747-3596

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

Provider Enumeration Date	:	01/20/2021
Last Update Date	:	03/02/2026

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