# LAKE CONROE COUNSELING CENTER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Conroe Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750817888
- **Authorized official:** AMY R DEAN (OWNER)
- **Authorized official phone:** (936) 449-8053

## Contact information

- **Practice address:** 123 BLUE HERON DR STE 104, MONTGOMERY, TX 77316-3192
- **Practice address phone:** (936) 449-8053
- **Mailing address:** 123 BLUE HERON DR STE 104, MONTGOMERY, TX 77316-3192
- **Mailing address phone:** (936) 449-8053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 202885 | TX | Yes |

## Other

- **Enumeration date:** 05/10/2017
- **Last updated:** 11/09/2020