Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY LOUISE FANTLE, LM&FT
Active Sole ProprietorMRS. MARY LOUISE FANTLE, LM&FT is a Marriage & Family Therapist healthcare provider located in CENTENNIAL, Texas. NPI 1881904217 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · CENTENNIAL, TX
Registration Details
- NPI Number
- 1881904217
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2010 (15.817837797932 yrs)
- Last Updated
- Oct 19, 2010
- License
-
927 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15798 E. PRENTICE DR.CENTENNIAL, TX, 800154268Browse TX providers · Browse ZIP 80015
- Phone
- 3039013313
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.