Provider Demographics
NPI:1861281560
Name:DANGTUW, AUDREY (EDD, LMFT, LMHC)
Entity type:Individual
Prefix:
First Name:AUDREY
Middle Name:
Last Name:DANGTUW
Suffix:
Gender:F
Credentials:EDD, LMFT, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18423 LILAC WOODS TRL
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-6822
Mailing Address - Country:US
Mailing Address - Phone:346-818-0630
Mailing Address - Fax:
Practice Address - Street 1:18423 LILAC WOODS TRL
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-6822
Practice Address - Country:US
Practice Address - Phone:346-818-0630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60221513101YM0800X
TXLN205592106H00000X
WALF60232694106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist