Provider Demographics
NPI:1790413763
Name:PEAVY, ARTHENA (LPC)
Entity Type:Individual
Prefix:
First Name:ARTHENA
Middle Name:
Last Name:PEAVY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11403 BARKER CYPRESS RD
Mailing Address - Street 2:STE J #162
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433
Mailing Address - Country:US
Mailing Address - Phone:832-779-8157
Mailing Address - Fax:
Practice Address - Street 1:7825 HIGHWAY 6 N # 102C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-1700
Practice Address - Country:US
Practice Address - Phone:281-249-9506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-09
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80254101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional