Provider Demographics
NPI:1205316270
Name:GARRETT, WILLA NEIL (LCSW)
Entity type:Individual
Prefix:
First Name:WILLA
Middle Name:NEIL
Last Name:GARRETT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3139 WEST HOLCOMBE BLVID
Mailing Address - Street 2:STE 2260
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77255
Mailing Address - Country:US
Mailing Address - Phone:985-438-0438
Mailing Address - Fax:
Practice Address - Street 1:5105 ASHWOOD DR
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2907
Practice Address - Country:US
Practice Address - Phone:217-620-7822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-18
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490177281041C0700X
TX561901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty