Healthcare Provider Details

I. General information

NPI: 1447255989
Provider Name (Legal Business Name): CATHERINE H HEIN MSSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 07/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4803 SAN FELIPE ST
HOUSTON TX
77056-3907
US

IV. Provider business mailing address

24703 PORTHCAWL CT
KATY TX
77494-6170
US

V. Phone/Fax

Practice location:
  • Phone: 713-626-7990
  • Fax:
Mailing address:
  • Phone: 630-414-7733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number54615
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: