Provider Demographics
NPI:1265569073
Name:MALVEAUX, ANDREW B SR (MSW)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:B
Last Name:MALVEAUX
Suffix:SR
Gender:M
Credentials:MSW
Other - Prefix:
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Mailing Address - Street 1:9520 HOMESTEAD RD
Mailing Address - Street 2:# A-1
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77016-4424
Mailing Address - Country:US
Mailing Address - Phone:832-715-4074
Mailing Address - Fax:832-409-5896
Practice Address - Street 1:9520 HOMESTEAD RD
Practice Address - Street 2:# A-1
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77016-4424
Practice Address - Country:US
Practice Address - Phone:832-715-4074
Practice Address - Fax:832-409-5896
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX3876106H00000X
TX086931041C0700X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical