Provider Demographics
NPI:1912659491
Name:MCELVEEN, SABLE (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:SABLE
Middle Name:
Last Name:MCELVEEN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 SAINT JAMES PL STE 325
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-3416
Mailing Address - Country:US
Mailing Address - Phone:832-780-3497
Mailing Address - Fax:
Practice Address - Street 1:1775 SAINT JAMES PL STE 325
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3416
Practice Address - Country:US
Practice Address - Phone:832-780-3497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-25
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX649071041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX64907OtherSOCIAL WORK LICENSE