Healthcare Provider Details

I. General information

NPI: 1760708564
Provider Name (Legal Business Name): DARCY C REEVES L.C.D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2010
Last Update Date: 04/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 W ALABAMA ST 911
HOUSTON TX
77006-5166
US

IV. Provider business mailing address

230 W ALABAMA ST 911
HOUSTON TX
77006-5166
US

V. Phone/Fax

Practice location:
  • Phone: 832-247-6395
  • Fax:
Mailing address:
  • Phone: 832-247-6395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number9907
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: