Provider Demographics
NPI:1942773171
Name:WALDING, CHASE ALLEN (LPC, ASOTP)
Entity Type:Individual
Prefix:MR
First Name:CHASE
Middle Name:ALLEN
Last Name:WALDING
Suffix:
Gender:M
Credentials:LPC, ASOTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 SUL ROSS ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-5030
Mailing Address - Country:US
Mailing Address - Phone:281-704-5182
Mailing Address - Fax:
Practice Address - Street 1:501 SUL ROSS ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-5030
Practice Address - Country:US
Practice Address - Phone:281-704-5182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-10
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73449101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health