Provider Demographics
NPI:1790059871
Name:POLVI, MARGARET CHERIE (LPC-S, LMSW, LCDC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:CHERIE
Last Name:POLVI
Suffix:
Gender:F
Credentials:LPC-S, LMSW, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4817 CRESTPOINT LN
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-6514
Mailing Address - Country:US
Mailing Address - Phone:972-226-2341
Mailing Address - Fax:
Practice Address - Street 1:4817 CRESTPOINT LN
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-6514
Practice Address - Country:US
Practice Address - Phone:972-226-2341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4529101YA0400X
TX9287101YP2500X
TX12912104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker