Healthcare Provider Details

I. General information

NPI: 1225132400
Provider Name (Legal Business Name): STEVEN L. HOUSEWORTH PHD, LMFT, LBSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 08/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

627 W 19TH ST SUITE 203
HOUSTON TX
77008
US

IV. Provider business mailing address

5726 SAGAMORE BAY LN
RICHMOND TX
77469
US

V. Phone/Fax

Practice location:
  • Phone: 832-248-4636
  • Fax: 866-804-7241
Mailing address:
  • Phone: 832-248-4636
  • Fax: 866-804-7241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLBSW#S31626
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT#5210
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: