Provider Demographics
NPI:1023983640
Name:ROBERTS, CALEB III
Entity type:Individual
Prefix:
First Name:CALEB
Middle Name:
Last Name:ROBERTS
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:SHONDRA
Other - Middle Name:N
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:409 ZINN DR
Mailing Address - Street 2:
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532-8611
Mailing Address - Country:US
Mailing Address - Phone:713-456-9490
Mailing Address - Fax:
Practice Address - Street 1:409 ZINN DR
Practice Address - Street 2:
Practice Address - City:CROSBY
Practice Address - State:TX
Practice Address - Zip Code:77532-8611
Practice Address - Country:US
Practice Address - Phone:713-456-9490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor