Provider Demographics
NPI:1922371301
Name:CARVER, ALISSA LYNN (APRN-CNP, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ALISSA
Middle Name:LYNN
Last Name:CARVER
Suffix:
Gender:F
Credentials:APRN-CNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1561 LOMBARDY ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-4528
Mailing Address - Country:US
Mailing Address - Phone:281-415-6464
Mailing Address - Fax:
Practice Address - Street 1:104 WHISPERING PINES AVE
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-4911
Practice Address - Country:US
Practice Address - Phone:281-415-6464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-16
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66401101YP2500X
TX10430002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional