Provider Demographics
NPI:1780135988
Name:DEVEJIAN, GEORGE (LCSW)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:DEVEJIAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7008 SETON HALL DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76120-2332
Mailing Address - Country:US
Mailing Address - Phone:972-768-3402
Mailing Address - Fax:214-272-2554
Practice Address - Street 1:7076 SETON HALL DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76120-2332
Practice Address - Country:US
Practice Address - Phone:972-768-3402
Practice Address - Fax:214-272-2554
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-22
Last Update Date:2025-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX521171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical