Provider Demographics
NPI:1700196110
Name:SCHINDEWOLF, KEVIN GEORGE (LPC)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:GEORGE
Last Name:SCHINDEWOLF
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13100 WORTHAM CENTER DR STE 240
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-5630
Mailing Address - Country:US
Mailing Address - Phone:832-289-0108
Mailing Address - Fax:
Practice Address - Street 1:13100 WORTHAM CENTER DR STE 240
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-5630
Practice Address - Country:US
Practice Address - Phone:832-289-0108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63942101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health