Provider Demographics
NPI:1942089347
Name:CHAUVENET, CASEY (MED, LPC)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:CHAUVENET
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 MURWORTH DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1622
Mailing Address - Country:US
Mailing Address - Phone:757-812-8381
Mailing Address - Fax:
Practice Address - Street 1:1710 W TC JESTER BLVD APT 5208
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-3247
Practice Address - Country:US
Practice Address - Phone:757-812-8381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80308101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional