MEDICARE: MRS. LOU A GUILLORY LMSW LMFT LCDC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	4054 LCDC	TX
2	1041C0700X	Clinical Social Worker	S19325 LMSW	TX
3	106H00000X	Marriage & Family Therapist	001091 LMFT	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8003BH	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1972661593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LOU A GUILLORY LMSW LMFT LCDC

Provider Business Mailing Address
First Line	:	4702 LABRANCH
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-5042
Country	:	US
Telephone Number	:	713-528-7007
Fax Number	:	713-529-5965

Provider Business Practice Location Address
First Line	:	4702 LABRANCH
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-5042
Country	:	US
Telephone Number	:	713-528-7007
Fax Number	:	713-529-5965

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

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	09/11/2025

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