Provider Demographics
NPI:1740593102
Name:YANG, XUE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:XUE
Middle Name:
Last Name:YANG
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 1:5252 WESTCHESTER ST.
Mailing Address - Street 2:STE. 105
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-4100
Mailing Address - Country:US
Mailing Address - Phone:713-664-0229
Mailing Address - Fax:713-668-9127
Practice Address - Street 1:5252 WESTCHESTER ST
Practice Address - Street 2:STE. 105
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-4100
Practice Address - Country:US
Practice Address - Phone:713-664-0229
Practice Address - Fax:713-668-9127
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX510681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical