Provider Demographics
NPI:1851670392
Name:WARD, PEARLIE RILEY (LBSW)
Entity Type:Individual
Prefix:MS
First Name:PEARLIE
Middle Name:RILEY
Last Name:WARD
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12623 MANSFIELD GLEN CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1970
Mailing Address - Country:US
Mailing Address - Phone:832-731-8251
Mailing Address - Fax:832-249-1106
Practice Address - Street 1:12623 MANSFIELD GLEN CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1970
Practice Address - Country:US
Practice Address - Phone:832-731-8251
Practice Address - Fax:832-249-1106
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX04231104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker