MEDICARE: MARTIN PATRICK NOEL LMFT #203823

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	203823	TX

General Provider Information

NPI Number	:	1689399263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTIN PATRICK NOEL LMFT #203823

Provider Business Mailing Address
First Line	:	113 BIG SKY
Second Line	:
City	:	BURNET
State	:	TX
Zip	:	78611-3692
Country	:	US
Telephone Number	:	512-553-5141
Fax Number	:	512-234-4048

Provider Business Practice Location Address
First Line	:	1811 N US HIGHWAY 281
Second Line	:
City	:	MARBLE FALLS
State	:	TX
Zip	:	78654-4303
Country	:	US
Telephone Number	:	512-567-4269
Fax Number	:	512-234-4048

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

Provider Enumeration Date	:	10/06/2022
Last Update Date	:	12/12/2025

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