Provider Demographics
NPI:1821559444
Name:QUINN, MARVSHRICKA (LCSW)
Entity type:Individual
Prefix:
First Name:MARVSHRICKA
Middle Name:
Last Name:QUINN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14150 HUFFMEISTER RD STE 200
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1806
Mailing Address - Country:US
Mailing Address - Phone:281-214-0413
Mailing Address - Fax:281-758-5328
Practice Address - Street 1:14150 HUFFMEISTER RD STE 200
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1806
Practice Address - Country:US
Practice Address - Phone:281-214-0413
Practice Address - Fax:281-758-5328
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-27
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX632731041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical