Provider Demographics
NPI:1922541226
Name:CHEAP, CRYSTAL LAUREN (LCSW)
Entity Type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:LAUREN
Last Name:CHEAP
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CRYSTAL
Other - Middle Name:LAUREN
Other - Last Name:CHAVEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1801 KINGWOOD DR STE 270
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2995
Mailing Address - Country:US
Mailing Address - Phone:346-347-6970
Mailing Address - Fax:
Practice Address - Street 1:1801 KINGWOOD DR STE 270
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2995
Practice Address - Country:US
Practice Address - Phone:346-347-6970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-18
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23373101YA0400X
NCP0110861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)