Provider Demographics
NPI:1023269842
Name:CHAVEZ, OSWALDO HECTOR (LPC-S, LMFT-S, LCDC)
Entity type:Individual
Prefix:
First Name:OSWALDO
Middle Name:HECTOR
Last Name:CHAVEZ
Suffix:
Gender:M
Credentials:LPC-S, LMFT-S, LCDC
Other - Prefix:
Other - First Name:HECTOR
Other - Middle Name:OSWALDO
Other - Last Name:CHAVEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC-S, LMFT, LCDC
Mailing Address - Street 1:1515 12TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-2866
Mailing Address - Country:US
Mailing Address - Phone:205-704-0917
Mailing Address - Fax:
Practice Address - Street 1:1600 5TH AVE S
Practice Address - Street 2:SUITE 100
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1700
Practice Address - Country:US
Practice Address - Phone:205-638-2751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-10
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201253106H00000X
AL388106H00000X
TX10506101YA0400X
AL3134101YP2500X
TX62430101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional