Provider Demographics
NPI:1366698516
Name:CHRISTIE HARRISS APPLEWHITE, LCSW PA
Entity type:Organization
Organization Name:CHRISTIE HARRISS APPLEWHITE, LCSW PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER OF PROFESSIONAL ASSOCIATION
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:HARRISS
Authorized Official - Last Name:APPLEWHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-814-2174
Mailing Address - Street 1:2825 WILCREST DR
Mailing Address - Street 2:SUITE 162
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3391
Mailing Address - Country:US
Mailing Address - Phone:832-814-2174
Mailing Address - Fax:
Practice Address - Street 1:2825 WILCREST DR
Practice Address - Street 2:SUITE 162
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3391
Practice Address - Country:US
Practice Address - Phone:832-814-2174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX363211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX172466801Medicaid