Provider Demographics
NPI:1811907132
Name:CLANCY, VINCENT MICHAEL II (LMSW,LPC)
Entity type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:MICHAEL
Last Name:CLANCY
Suffix:II
Gender:M
Credentials:LMSW,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8215 MIDDLEBURY LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3634
Mailing Address - Country:US
Mailing Address - Phone:713-794-7848
Mailing Address - Fax:713-794-7929
Practice Address - Street 1:2002 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4211
Practice Address - Country:US
Practice Address - Phone:713-794-7848
Practice Address - Fax:713-794-7929
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical