Provider Demographics
NPI:1922528587
Name:SAVOY, MARY DIANE
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:DIANE
Last Name:SAVOY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 N SAM HOUSTON PKWY E STE 416
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-4016
Mailing Address - Country:US
Mailing Address - Phone:281-448-6800
Mailing Address - Fax:281-667-3281
Practice Address - Street 1:525 N SAM HOUSTON PKWY E STE 416
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-4016
Practice Address - Country:US
Practice Address - Phone:281-448-6800
Practice Address - Fax:281-667-3281
Is Sole Proprietor?:No
Enumeration Date:2017-06-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11625101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)