Provider Demographics
NPI:1477263028
Name:PREVOU, ANNE NICOLETTE (LCSW)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:NICOLETTE
Last Name:PREVOU
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 OAK MNR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-4967
Mailing Address - Country:US
Mailing Address - Phone:817-808-4827
Mailing Address - Fax:
Practice Address - Street 1:2300 OAK MANOR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-7601
Practice Address - Country:US
Practice Address - Phone:817-808-4827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-05
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69183101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health