Healthcare Provider Details

I. General information

NPI: 1720604309
Provider Name (Legal Business Name): DAN NORMAN CALDWELL JR. LPC, LMHC,LCPC, LCDC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2020
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 WILCREST DR STE 630
HOUSTON TX
77042-2397
US

IV. Provider business mailing address

121 CROSS MASON DR
KATY TX
77493-3793
US

V. Phone/Fax

Practice location:
  • Phone: 832-326-6276
  • Fax:
Mailing address:
  • Phone: 832-326-6276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number12278
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number84476
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: