Provider Demographics
NPI:1861107799
Name:SMRM PLLC
Entity type:Organization
Organization Name:SMRM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RODRIGUEZ-MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:832-699-7800
Mailing Address - Street 1:12712 W LAKE HOUSTON PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-6469
Mailing Address - Country:US
Mailing Address - Phone:832-699-7800
Mailing Address - Fax:
Practice Address - Street 1:13010 CALDBECK CREEK LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044-1746
Practice Address - Country:US
Practice Address - Phone:832-699-7800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2024-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health