Provider Demographics
NPI:1255408506
Name:EVCES, CATHY ELIZABETH (LCSW)
Entity type:Individual
Prefix:MISS
First Name:CATHY
Middle Name:ELIZABETH
Last Name:EVCES
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 1:7224 SAN MARINO DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-1540
Mailing Address - Country:US
Mailing Address - Phone:404-312-7856
Mailing Address - Fax:
Practice Address - Street 1:2701 E YANDELL DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-3726
Practice Address - Country:US
Practice Address - Phone:905-562-1999
Practice Address - Fax:915-562-1993
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0035341041C0700X
TX508481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical