Provider Demographics
NPI:1508964909
Name:REED, CHRISTINE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:REED
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9660 HILLCROFT ST.-
Mailing Address - Street 2:SUITE 120C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-3876
Mailing Address - Country:US
Mailing Address - Phone:713-790-0343
Mailing Address - Fax:713-686-1837
Practice Address - Street 1:9660 HILLCROFT STREET
Practice Address - Street 2:SUITE 120 C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-3876
Practice Address - Country:US
Practice Address - Phone:713-790-0343
Practice Address - Fax:713-686-1837
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX35004300OtherMAGELLAN PROVIDER #
TX7850057OtherAETNA PROVIDER PIN
TX00S66GOtherBLUE CROSS BLUE SHIELD TX
TX125006OtherMANAGED HEALTH NETWORK #
TX361291OtherVALUE OPTIONS PROVIDER #