Provider Demographics
NPI:1396745865
Name:GALLIER, KATHRYN ALEXIS (LCSW)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:ALEXIS
Last Name:GALLIER
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 1:10401 S MASON RD UNIT A103
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-5913
Mailing Address - Country:US
Mailing Address - Phone:346-550-0066
Mailing Address - Fax:
Practice Address - Street 1:10401 S MASON RD UNIT A103
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-5913
Practice Address - Country:US
Practice Address - Phone:346-550-0066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-27
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX353811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical