Provider Demographics
NPI:1609192806
Name:SAUSSY-KEEL, ANN MARIE (LCSW)
Entity Type:Individual
Prefix:
First Name:ANN MARIE
Middle Name:
Last Name:SAUSSY-KEEL
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 1:14215 BOERNE COUNTRY DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6131
Mailing Address - Country:US
Mailing Address - Phone:619-807-0425
Mailing Address - Fax:281-213-4045
Practice Address - Street 1:14215 BOERNE COUNTRY DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-6131
Practice Address - Country:US
Practice Address - Phone:619-807-0425
Practice Address - Fax:281-213-4045
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-13
Last Update Date:2015-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX337461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical