Provider Demographics
NPI:1760679864
Name:NOVO, ANN LONG (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:LONG
Last Name:NOVO
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 1:2412 YORKTOWN ST
Mailing Address - Street 2:#282
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-4574
Mailing Address - Country:US
Mailing Address - Phone:832-623-6635
Mailing Address - Fax:
Practice Address - Street 1:2416 YORKTOWN ST
Practice Address - Street 2:#353
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-4575
Practice Address - Country:US
Practice Address - Phone:713-552-0024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS064071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical