Provider Demographics
NPI:1780220947
Name:GROCHETT, CASSIE RENAE (MA, LPC, LCDC)
Entity type:Individual
Prefix:
First Name:CASSIE
Middle Name:RENAE
Last Name:GROCHETT
Suffix:
Gender:F
Credentials:MA, LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15307 CABOT RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4753
Mailing Address - Country:US
Mailing Address - Phone:713-594-4842
Mailing Address - Fax:
Practice Address - Street 1:7790 W GRAND PKWY S STE 103
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-5830
Practice Address - Country:US
Practice Address - Phone:713-594-4842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-22
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13918101YA0400X
TX77081101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)