Provider Demographics
NPI:1134310097
Name:DOUCETTE, CAROLYN CARTER (LBSW)
Entity Type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:CARTER
Last Name:DOUCETTE
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4500 BISSONNET ST
Mailing Address - Street 2:SUITE 340
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3120
Mailing Address - Country:US
Mailing Address - Phone:281-207-2520
Mailing Address - Fax:281-207-2525
Practice Address - Street 1:10435 GREENBOUGH DR
Practice Address - Street 2:SUITE 200
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-5000
Practice Address - Country:US
Practice Address - Phone:713-838-9050
Practice Address - Fax:713-838-9098
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX29828104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker