Provider Demographics
NPI:1336159722
Name:EVANS, CHARLOTTE ANN (MA, LMFT, LPC)
Entity Type:Individual
Prefix:MS
First Name:CHARLOTTE
Middle Name:ANN
Last Name:EVANS
Suffix:
Gender:F
Credentials:MA, LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18100 UPPER BAY RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3548
Mailing Address - Country:US
Mailing Address - Phone:281-335-9889
Mailing Address - Fax:281-333-8441
Practice Address - Street 1:18100 UPPER BAY RD
Practice Address - Street 2:SUITE 105
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3548
Practice Address - Country:US
Practice Address - Phone:281-335-9889
Practice Address - Fax:281-333-8441
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX005465101YM0800X
TX15458101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health