Doctor Name: | LOU F MARTIN |
NPI Number: | 1376720243 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC0000000628 |
Business Practice Address: | 3950 Central Avenue Memphis, TN - 381117602 |
Business Phone Number: | 9014586291 |
Business Fax Number: | 9013234848 |
Mailing Address: | 3950 Central Avenue, MEMPHIS |
State: | TN |
Postal Code: | 381117602 |
Phone Number: | 9014586291 |
Fax Number: | 9013234848 |
NPI Enumeration Date: | 01/23/2008 |
NPI Last Update Date: | 01/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC0000000628 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |