Provider Demographics
NPI:1184795973
Name:CARPENTER, MERIDITH CHEVONNE (LPC)
Entity type:Individual
Prefix:
First Name:MERIDITH
Middle Name:CHEVONNE
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 87405
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77287-7405
Mailing Address - Country:US
Mailing Address - Phone:713-289-4818
Mailing Address - Fax:713-641-3266
Practice Address - Street 1:3402 DOWLING ST
Practice Address - Street 2:SUITE #260
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-4271
Practice Address - Country:US
Practice Address - Phone:713-289-4818
Practice Address - Fax:713-641-3266
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60243101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional