Provider Demographics
NPI:1114694148
Name:MCNEIL, DEVIN (CART, LPC, LCSW)
Entity Type:Individual
Prefix:
First Name:DEVIN
Middle Name:
Last Name:MCNEIL
Suffix:
Gender:M
Credentials:CART, LPC, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2455 DUNSTAN RD APT 149
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-2301
Mailing Address - Country:US
Mailing Address - Phone:832-982-8363
Mailing Address - Fax:
Practice Address - Street 1:9314 CULLEN BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77051-3319
Practice Address - Country:US
Practice Address - Phone:832-982-8363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25247037101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX25247037Medicaid