Provider Demographics
NPI:1023039716
Name:CASEY, CATHERINE ALEXIS (MED, LPC, LMFT)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ALEXIS
Last Name:CASEY
Suffix:
Gender:F
Credentials:MED, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16300 KATY FWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77094-1609
Mailing Address - Country:US
Mailing Address - Phone:281-686-9569
Mailing Address - Fax:281-492-2751
Practice Address - Street 1:16300 KATY FWY
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1609
Practice Address - Country:US
Practice Address - Phone:281-686-9569
Practice Address - Fax:281-492-2751
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2011-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2107101YM0800X
TX9624101YP2500X
TX1248106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional