Provider Demographics
NPI:1699563700
Name:REYES, JAVIER JR (LMSW, LCDC, SAP)
Entity type:Individual
Prefix:
First Name:JAVIER
Middle Name:
Last Name:REYES
Suffix:JR
Gender:
Credentials:LMSW, LCDC, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 NORAS LN # F
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77022-3517
Mailing Address - Country:US
Mailing Address - Phone:832-289-1905
Mailing Address - Fax:
Practice Address - Street 1:227 NORAS LN # F
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022-3517
Practice Address - Country:US
Practice Address - Phone:832-289-1905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15911101YA0400X
TX114360104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)