Provider Demographics
NPI:1548603012
Name:THOMAS, COURTNEY CHAPMAN (LMSW)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:CHAPMAN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8876 GULF FWY
Mailing Address - Street 2:SUITE #420
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77017-6513
Mailing Address - Country:US
Mailing Address - Phone:713-807-1500
Mailing Address - Fax:713-527-8558
Practice Address - Street 1:8876 GULF FWY
Practice Address - Street 2:SUITE #420
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-6513
Practice Address - Country:US
Practice Address - Phone:713-807-1500
Practice Address - Fax:713-527-8558
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-15
Last Update Date:2013-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57620104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker